MEMBERSHIP TYPE - Check all that apply

Automatically renewed and billed annually unless written notification is received

Single Member (Age 35-64)Young Executive Single (24-34)Senior Single (65+)Military/First Responder (must provide proof of enrollment)Corporate 4 (must provide company letterhead, Fed Tax ID#, proof of employment)Corporate 2 (must provide company letterhead, Fed Tax ID#, proof of employment)College (18-23) must provide proof of age & school enrollmentJunior (13-17) must provide proof of ageSocial Member (discounted greens fees, access to club social events)Spouse add-on ($600)Junior add-on ($250)

2026 OPTIONAL FEES - Check all that apply

Annual Cart Plan $1250 for primary member, additional $750 per member for spouse, or corporate under same membership (must be paid in full before 2026 season)USGA Annual Handicap Fee - $50Bag Storage - $150 Automatically billed from year to year unless cancelled by memberLocker - $150 Automatically billed from year to year unless cancelled by memberBag Storage & Locker - $250

Member Daily Cart Rates - $18 per person for 18 holes / $10 per person for 9 holes

Members Only Holiday Cart Package:

Buy 10 carts, get 12 or buy 20 carts get 25, valid for the 2026 season. Can be gifted to another WCC member but carts are for named member only.

PRIMARY MEMBER INFORMATION

First Name

MI

Last Name

Address

City

State

Zip

Date of Birth

Primary Email

Emergency Contact Name

Emergency Phone

SECONDARY MEMBER INFORMATION (Spouse, Junior, or Corporate)

First Name

MI

Last Name

Address

City

State

Zip

Date of Birth

Email

NAME OF BUSINESS (if applicable)

WCC MEMBER CHARGING POLICY

In order to activate charging privileges within your member account... it is a requirement to provide us with a valid credit card to keep on file.

The preferred method of payment is cash or check; if paying with credit card, a 3.0% surcharge fee will be incurred.

Please CHOOSE from payment options as noted below:

[radio* payment-option default:1 use_label_element
"1. I will PAY DUES IN FULL and I WILL NOT charge to my member account. I will pay cash or credit card at time of sale."
"2. Sign me up for the Automatic Payment Plan (Credit card accessed on the 24th for dues and monthly charges)."
"3. I opt to pay from my member statement by the 15th. If balance is not paid on time, the authorized card on file will be accessed."
]

CREDIT CARD AUTHORIZATION

For security, please do not enter your full card number here. Select your card type below, and our office will contact you to securely finalize your payment details on file.

Card Type
VisaMasterCardDiscoverAMEX

I understand this membership is automatically renewed every December. I have read and agree to abide by all rules, regulations, and policies of Wyckoff Country Club.

Digital Signature & Date

Digital Signature (Type Full Name)

Date

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