Blueberry Hill Golf Club ... a great golf course in one of northwestern Pennsylvania's most scenic regions

Print this application and mail with the applicable fee.

APPLICATION FOR NEW MEMBERSHIP

(I)(We) the undersigned do hereby submit application for membership in the Blueberry Hill Golf Club, and if accepted do hereby agree to abide by all the rules of the club. It is understood that such membership is subject to approval by the Board of Directors. A member in good standing must sponsor all applicants. In the event this application is not accepted, any and all monies tendered with this application will be refunded.
Applicable fee must accompany this application.

Name of Applicant(s): _____________________________________________________
Spouse's name (Family Membership) _________________________________________
Address: ________________________________________________________________
City _____________________________ St _______________ Zip _________________
Phone: home___________________work_________________cell__________________
Email address: __________________________________________________________
Sponsored by: ____________________________________________________________
Membership Type: (circle one) Family * Men's * Women's * Junior * Restricted Play Family * Restricted Play Single………………………………………Amount enclosed $_________
Family Memberships: List all children and birthdates (mm/dd/yyyy) under age 23
1._________________________/___/___ 2.___________________________/___/____
3._________________________/___/___ 4.___________________________/___/____
Family: Includes husband, wife and all children up through age 18, unmarried and living at
home, and those full time undergraduate students through age 22 as of April 1st.

Men: Individual membership for male golfer single or married who does not fit in
another membership category.

Women: Individual membership for female golfer single or married who does not fit in
another membership category.

Junior: Individual membership for a single male or female golfer who has not reached
his or her 19th birthday before April 1, and full time undergraduate students through age 22 as of April 1st.

Restricted Play: Weekdays and after 2 p.m. on weekends and holidays