Western Lakes Golf Club

2012 Golf Membership Application

Please return golf course membership application with payment to:
Western Lakes Golf Club
c/o Golf Club Memberships
W287 N1963 Oakton Rd.
Pewaukee, WI 53072

Golf Membership Benefits
Full and Thurs/Sat Members that pay before 2/13/12 receive a FREE Locker/Towel membership.
Last Name _______________________________
First Name(s) _______________________________ Spouse ________________________
Address ____________________________________________________
City/State/Zip ____________________________________________________
Home Phone (_______) ________ - _____________ (Please circle best contact #)
Work Phone(s) (_______) ________ - _____________ (_______) ________ - _____________
Mobile Phone(s) (_______) ________ - _____________ (_______) ________ - _____________
Email Address(s) ________________________________ ________________________________

Circle Golf Membership and any additional options to purchase
Save on Golf Membership
1st Time Member
OR
Payment Before
2/13/12
WLGC Membership
Price
Full Single Membership
 $1495 ($76.25) $1650 ($84.15)
Full Couple
 $2175 ($110.93) $2400 ($122.40)
Thurs/Sat Single
 $1050 ($53.55) $1200 ($61.20)
Thurs/Sat Couple
 $1600 ($81.60) $1800 ($91.80)
***Associate Single
 $200 ($10.20) $300 ($15.30)
***Associate Couple
 $350 ($17.85) $450 ($22.96)
***Associate Membership includes 20% discount on regular summer green fees. Discount does not apply to spring, fall, or promotional green fees.
***Sales tax(es) in parentheses.
Save on Golf Membership
1st Time Member
OR
Payment Before
2/13/12
WLGC Membership
Price
Single Golf Cart
 $575 ($29.33) $625 ($31.88)
Couple Golf Cart
 $850 ($43.35) $925 ($47.18)
Locker/Towel
 $100 ($5.10) $100 ($5.10)
5.1% State/County Sales Tax will be added to all prices
Sub Total $____________
Sales Tax $____________ (Enter Above Sales Tax)
Grand Total $____________ Amount Enclosed $____________
Check Number _____________