
5274 153rd Ave SE, Leonard, ND 58052 Phone: 701-645-CLUB (2582)
E-Mail: info@leonardcc.com Website: www.leonardcc.com
2012 Membership Application
Membership Rates:
Punch Card (Includes: (10) 9-Hole Rounds) ......................... $100.00 _______________
Junior (Under 18)...................................................................... $ 95.00 _______________
Junior Adult (18-22).................................................................. $175.00 _______________
Single......................................................................................... $295.00 _______________
Couple........................................................................................ $395.00 _______________
Family......................................................................................... $495.00 _______________
Corporate................................................................................... $780.00 _______________
(Corporate Includes: (4) Individual Members + (12) 9-Hole Guest Passes)
New Member *Bonus*............$50.00 Gift Certificate @ LCC (Excludes: Punch Card, Junior & Junior Adult)
Trail Fees & Cart Storage:
Gas Cart ................. $175.00 _______________
Electric Cart ................... $200.00 _______________
No Storage & Additional Unrelated Parties ................ $ 75.00 _______________
USGA Handicap Card ..................... $ 20.00 _______________
TOTAL _______________
Sponsored By: _______________________________________________
(Sponsor a NEW Member & Receive a $25.00 Gift Certificate from LCC (Excludes: Punch Card, Junior & Junior Adult))
Name:_______________________________________ Additional Member/Users:
Address:_____________________________________ __________________ __________________
City:________________ State:____ Zip:___________ __________________ __________________
Phone:___________________ E-Mail:_________________________________________________________
Credit Card #: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Exp. Date: __ / __
Signature: ____________________________________________ CVV2#: __ __ __ (Last 3 Digits On Back Of Card)