Membership Registration Please enable JavaScript in your browser to complete this form.Corporate/Business Name *FirstLastAddress *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeBilling Address (if different than above) *Corporate/Business Point of Contact Name *FirstLastPhone *Email *Comment or MessageI hereby authorize and approve of this 2023 Corporate Golf Membership agreement with the Fort Dodge Country Club and designate the employees who are eligible for these privileges. As such, all designated corporate members will be accountable for proper conduct, appropriate dress code, respecting rules, regulations and procedures and attention to general golf customs and courtesies of the Fort Dodge Country Club.Date *Corporate/Business Officer's Name & Title *Please submit a document below with the following information of each corporate member: Click or drag a file to this area to upload. Name, Mailing Address, Email Address, Phone Number, Authorized to Charge2024 Corporate Golf Membership RegistrationCorporate Account #Membership CalculatorOnly Complete Item A if you have 4-8 Employees. Only Complete Item B if you have 9 Employees or More. Item A: Number of Members x $1330Total (includes golf membership only)Item B: Number of Members x $1075Total (includes golf membership only)ADDED Amenities: Number of Amenities x $870TotalTotal Payment: Item A or B + Added Amenities + 7%****Corporate Membership TaxSubmit
