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)