2017 Emerald Club Application Form 1. Personal Details First Name: Last Name: Address: City: State: Zip: Mobile Number: Home Number: Email Address: Spouse Email Address: 2. Membership Details Single Membership or Husband / Wife: Single Membership - $150.00Husband/Wife Membership - $235.00 Optional Memberships: Add: One Junior (18 and under) $50.00Add: Two Juniors (18 and under) - $80.00Add: Driving Range Single - $225.00Add: Driving Range Family - $300.00 Additional Member Details: Junior #1 Info: First Name: Last Name: Email Address: Date of Birth: Additional Members Details: Junior #1 Info: First Name: Last Name: Email Address: Date of Birth: Junior #2 Info: First Name: Last Name: Email Address: Date of Birth: Upon signing this agreement, I (we) the undersigned, understand and agree to the following: 1. To pay all fees associated with the use of the Fallen Timbers facility (greens fees, cart fees, range fees, merchandise purchases, food & beverage purchases, simulator use and any other fees charged by the club) at the time of use or by the 10th of each month per the credit (charge account) provided by the club. All delinquent accounts are subject to a 2% month interest charge and any cost associated with collection efforts. 2. To act, dress and conduct ourselves in a proper and responsible manner at all times while utilizing club facilities. All golfers are required to check in at the pro shop prior to engaging in any golf activity on the golf course property - no exceptions! 3. To observe proper etiquette, pace of play and proper rules of golf while playing and to utilize the Emerald Club Member-ship within the parameters as specified on the Emerald Club offering sheet, WHICH INCLUDES USE OF E.C. DISCOUNTS FOR INDIVIDUAL MEMBERS ONLY! 4. That all memberships, unless otherwise provided for, are for a calendar year and shall expire on December 31st of each year. 5. That Fallen Timbers Fairways reserves the right to revoke membership privileges, without refund, for any violation of these provisions or any other action that is harmful to the club or its patrons.