Membership Application

Use this form to submit an application for membership/program at Lincoln Country Club. A $100 refundable deposit must accompany this application to become official. Remit payment to:

Lincoln Country Club

Membership Chairperson

P.O. Box 436

Lincoln, RI 02865

Are you applying for yourself or someone else?(*)

Yourself

Someone Else

Please Enter How you are applying

Applicant Name(*)

Primary Member Email is Required when completing the application for someone else.

Applicant Email Address(*)

Applicant Email is Required

Membership type you are applying for(*)

Date of Birth (Junior, Junior Executive, Executive)(*)

Birthday is Required for Junior, Junior Executive, and Executive Membership Types

Full Name of the Primary member (*)

Primary Member Name is Required when completing the application for someone else.

Primary Member Email Address(*)

Please provide your email address.

Primary Member Phone(*)

Primary Phone is Required

Primary Member Phone Type(*)

Mobile Home Office Other

Primary Phone Type is Required

USGA GHIN Number or Current Handicap or Average 9-hole Score(*)

GHIN # or Average Score is Required

List any golf clubs that you were recently a member

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List any current LCC members that you are using as a reference

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Full Name of the "B" member (*)

B Member Name is Required when membership type is Family

Email Address of the "B" Member(*)

B Member Email is Required when membership type is Family

Phone Number of the "B" Member(*)

B Member Phone is Required when membership type is Family

Phone Type of the "B" Member (*)

Mobile Home Office Other

B Member Phone Type is Required when membership type is Family

Full Name of Child 1 (if applicable)

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Child 1 Date of Birth

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Full Name of Child 2 (if applicable)

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Child 2 Date of Birth

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Full Name of Child 3 (if applicable)

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Child 3 Date of Birth

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Billing Contact(*)

Bill to Primary Member

Bill to B Member

Billing Contact Type is Required

Billing Postal Address(*)

Email or Postal Billing option is Required

How do you wish to receive your monthly billing statements(*)

Email (saves postage) Postal Mail Both

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Which Member Should Receive Billing Email(*)

Primary Member B Member Both

Billing Email Type is Required when choosing to receive monthly statements via email

Comments

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LCC Membership/Program Application Conditions

Prior to submitting your application to Lincoln Country Club, we advise you to read the LCC By-Laws and Rules & Regulations which are available on our website: www.lincolncountryclub.com.

In consideration of the benefits provided by Lincoln Country Club, including the availability and use of the golf course, locker room, clubhouse, and pro shop facilities, as well as the participation in the affairs of said Lincoln Country Club, in accordance with the charter and By-Laws of said club:

I, the undersigned, hereby apply for membership and I hereby agree to pay annual dues, assessments, and other related charges in effect at the time of acceptance by the Board of Governors of said membership in accordance with the terms set forth by Lincoln Country Club.

This application, when accepted by Lincoln Country Club and its Board of Governors, shall constitute a binding agreement, and shall remain in effect and subject to all rules and regulations as may be approved by Lincoln Country Club.

If my membership application shall be accepted and approved, I agree to pay all charges for membership when they are due. I further agree that unless I inform Lincoln Country Club, in writing, that I no longer desire membership beyond October of any year, I am obligated to pay all dues, charges and legal fees related to the following year.

I hereby agree that my dues are payable annually on December 1st each year; however, as a convenience to the members of Lincoln Country Club, and if the Board of Governors allow, I may pay such dues semi-annually, quarterly, or monthly as I so desire. I understand that notwithstanding payments made other than on the annual plan, I remain fully obligated to pay my dues without reduction, proration, or discount. I further understand that my resignation, if accepted by the Board of Governors, is effective at the end of the month when I submit said resignation.

In the event of default by a club member, hereinafter "debtor," for payments due to Lincoln Country Club, hereinafter "creditor," such that this account is placed in the hands of an attorney for collection, the debtor agrees to pay all reasonable fees to creditor, which will be 33 1/3% of the outstanding balance due under the contract, in addition to all sheriff and court costs. In addition, interest will accrue at the rate of 18% per annum on any balance due the creditor outstanding more than 30 days.

Confirm that you have read the LCC Membership/Program application conditions(*)

Yes, I have read them and agree to the conditions

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Make $100 deposit payable to Lincoln Country Club and mail to: Lincoln Country Club - Membership Chairperson - P.O. Box 436 - Lincoln, RI 02865(*)

I confirm that the $100 refundable deposit will be paid within one week of the submission date of this application. The official application date is the date the deposit is received.

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LCC Membership Application

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