INDIAN HILLS COUNTRY CLUB HOLE - IN - ONE CLUB

My signature below indicates that I am adding my name to the Indian Hills Hole - in - one Club.    I understand that by adding my name to the Hole - in - One Club, a $5.00 charge will appear on my monthly Indian Hills statement when another member makes a hole - in - one.    If, for example, there are 200 members in the Hole - in - One Club and each one is charged $5.00, the member who got the Hole - in - one receives $500.00 ProShop Credit and $500.00 cash.

PLEASE ADD MY NAME TO THE HOLE - IN - ONE:

 

DATE: ___________ MEMBER #: _________ SIGNATURE: _________________

 

DATE RECEIVED: ________________ RECEIVED BY: __________________

My signature below indicates that I am removing my name from the Indian Hills Hole - in - One Club.  I understand that by removing my name from the Hole - in - One Club, I am not responsible for any charges after the date shown below.

PLEASE REMOVE MY NAME FROM THE HOLE - IN - ONE CLUB:

 

DATE: ___________ MEMBER #: _________ SIGNATURE: ________________

 

DATE RECEIVED: ________________ RECEIVED BY: _______________

PROCEDURE TO ADD OR REMOVE MEMBER:

* MEMBER MUST SIGN FORM AND FORM MUST BE TURNED IN TO BILLING OFFICE.