City Club at Lost Plantation

Couple W/Cart Plan Enrollment

Dues are $355.00 and this is a monthly membership. ** Pro-Rated dues to join today are $201.17 **

*Primary Member

First Name*

Last Name*

Birth Date*

Gender

Phone Number*

Email Address*

Confirm Email Address*

Address*

City*

Select Country

Select State

Zip Code*

*Sub Member 1

First Name*

Last Name*

Birth Date*

Gender

Relationship

Email*

Staff Member or Referring Members Name at City Club at Lost Plantation

Couple W/Cart Plan Terms & Conditions

All active membership accounts that are 60 days delinquent will be subject to suspension of membership and all playing privileges will be revoked until the account balance is settled.
With completion of this form, you are committing to an annual membership at City Club. All memberships will automatically renew on January 1 unless cancellation request is received in writing.

I have read, understand and accept the terms and conditions of the Couple W/Cart Plan.