MEMBERSHIP APPLICATION

 THE WOODS at Jacksonville P. O. Box 2317 Jacksonville, Texas 75766  Office 903-589-1706 Fax: 903-586-0594
  APPLICANT NAME    
       
  NAME____________________________________ BIRTH DATE ___________________  
  SPOUSE __________________________________ BIRTH DATE ___________________  
  MAILING ADDRESS________________________ CITY________________  ZIP_______  
  HOME PHONE # ___________________________ CELL #_________________________  
  E-MAIL ADDRESS _________________________ TX LICENSE#___________________  
       
  CHILDREN LIVING IN YOUR HOUSEHOLD UNDER AGE OF 21  
     
  NAME______________________________________ BIRTH DATE __________________  
  NAME______________________________________ BIRTH DATE __________________  
  NAME______________________________________ BIRTH DATE __________________  
     
  REFERENCES  
   I authorize The Woods at Jacksonville to check applicable credit information and I authorize The Woods at Jacksonville to apply past due amounts over 45 days in arrears to my credit card stated within this application.  
     
  BANK______________________________________ PHONE______________________  
  CREDIT CARD____________________ CARD NUMBER ______________EXP.______  
     
  MEMBERSHIP CATEGORY  
     
  __________ FULL $180/MONTH PLUS TAX - INITIATION FEE $1,000.00  
 

__________ SOCIAL  (TENNIS, POOL & CLUBHOUSE) -

                     $110/MONTH PLUS TAX - INITIATION FEE $250.00

  
 

__________ CLUBHOUSE  (RESTAURANT AREA ONLY) -

                     $70/MONTH PLUS TAX - INITIATION FEE $150.00

  
  __________ CORPORATE $160/MONTH PLUS TAX (MINIMUM OF THREE MEMBERS)  
                       - INITIATION FEE $1000.00  
     
  DRIVING RANGE INFORMATION  
  __________ $30 MONTHLY TRAIL FEE ONLY  
  __________ $55 MONTHLY CART SHED & TRAIL FEE  
  __________ $200 SINGLE YEARLY DRIVING RANGE  
  __________ $300 FAMILY YEARLY DRIVING RANGE  
     
 

 

I hereby  apply for membership in The Woods at Jacksonville Golf & Country Club of

Jacksonville, Texas and agree to abide by the rules and regulations set forth by the club.

I understand that  the facts and statements made by me herein are representations upon

which  management  will rely in  approving this application. 

 
     
          ___________________________________________________                        _________________________________________  
        Applicant's Signature                                                            Date