DATE _ EMAIL

NAME _______________________ SPOUSE’S NAME

PERMANENT RESIDENCE _________________________________________________________________________

BLUE LAKE ADDRESS (Street or Lot#)________________________________________________________________

PERMANENT TELEPHONE # ____________________________________ LAKE PHONE _____________________

CHILDREN’S NAMES : _____________________________________________________________________________

(Note: Circle the names of any children living at home.)

TYPES OF MEMBERSHIP AVAILABLE—Memberships run yearly from July 1^st to June 30^th of the following year and are contingent upon full payment for the class of membership purchased. Payment may be made on an Annual or a Semi-Annual basis. (Note: A $ 25.00 Accounting Fee will be added for Semi-Annual payments.) New memberships purchased after September 1^st will be pro-rated.

1. Full Family Membership—Family is defined as dependents to include spouse, unmarried children over

eight and /or fulltime college students who have not reached their 24^th birthday. Independent children, their

spouses and grandchildren pay half price green fees. Club social privileges are included for the spouse and dependent children.

		With Tax
A. BlueLake Property Owner	$525.00	$557.81
B. Non-Property Owner	$590.00	$626.88

2. Single Golfer Membership—One designated golfer can play without playing green fees under this membership. All other family members pay full green fees. Club social privileges are included for the spouse and dependent children.

		With Tax
A. BlueLake Property Owner	$415.00	$440.94
B. Non-Property Owner	$470.00	$499.38

3. 3. Family Social Membership —Membership includes all club social activities for husband, wife

and dependent children.

		With Tax
A. BlueLake Property Owner	$120.00	$127.50
B. Non-Property Owner	$135.00	$143.44

4. Individual Social Membership—Designed for our single members. Includes all club social activities for a single

individual.

		With Tax
A. BlueLake Property Owner	$110.00	$116.88
B. Non-Property Owner	$125.00	$132.81

90 DAY FAMILY MEMBERSHIP:

		With Tax
A. Resident or Non-resident	$175.00	$185.94
(Includes Full Membership Privileges, as above)

ÿTrail Fees (January 1^st through December 31^st) $ 120.00 $ 127.50

ÿCart Shed Fees (April 1^st through March 31^st) Gasoline $ 230.00 $ 244.38

Electric $ 250.00 $ 265.62

Member fee for cart rental is $12.00 anytime for one or two riders.

Prices are subject to change by Board action at any time.

Revised 6/09

DATE _____________________________ EMAIL ____________________________

NAME _________________________________________________ SPOUSE’S NAME__________________________

DATE _ EMAIL

NAME _______________________ SPOUSE’S NAME