| Trial Membership Application |
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The Club at Blackthorne
One Year Trial Membership
Non-Resident Application
Name(s):___________________________________________________________________
Address:___________________________________________________________________
City:______________________________ State:___________
Telephone:______________________________ Email:________________________
Referred By:_________________________
I agree to purchase a Non-Resident Trial Membership at The Club at Blackthorne in Jeannette, Pennsylvania for the period of: _________________ to __________________ for $________________. I understand that I may also purchase a second membership at the club for a total of $1,400.00 which would include one immediate family member living in the same household. A family member for a husband and wife and their children (under 21 and still living at home) is available for $1,600.00.
This membership may be upgraded prior to the expiration date to any membership status that was available at the time of joining or any current membership offering.
I understand that myself or a designated family member will be allowed to reserve a golf cart as needed (must be 16 years old and hold a valid driver's license) at the going rate. Any damage to the The Club at Blackthorne's property by a member's children or guests, shall be the responsibility of the adult member. A cart is required for all play.
I also understand that my golf membership will not apply when the golf course is closed for maintenance purposes. I also understand that The Club at Blackthorne reserves the right to book tournaments from time to time. I understand that I am entitled to make tee times up to two weeks in advance.
Membership Status: Junior
Amount Paid: _________________ Signed: ____________________________________ Received by: ________________________________ |


