Taconic Golf Club Application

* Date

To the Taconic Golf Club Membership Committee:
I wish to apply for Williams Club Affiliate Membership to the Taconic Golf Club

* Name

* College

* Class Year

* Date of Birth

Home Address:

* Street

* City

* State

* Zip Code

* Email Address

* Business or Profession

Telephone

Business Address:

Street

City

State

Zip Code

Other family members included in this application:

Spouse

Junior Member Applicants (under 21 and/or in college - please list birth dates)

Other Golf Clubs of which applicant is a member

* Denotes Required Fields

By signing this application, I hereby certify that I am a member of the Williams Club and I do
not have substantial use of a residence within 50 miles of Taconic Golf Club.

Please enter the following characters:
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2017 Non-Resident Alum* Membership Fees
Williams Club/Williams Alum: $615 or $600 if pay via cash
Williams Club/Non-Williams Alum: $1069 or $1042 if pay via cash
Note: regular non-resident rate for unaffiliated individuals: $1819

Daily Green Fee Options:
Williams Club/Williams Alum: $85 w/cart
Williams Club/Non-Williams Alum: $110 w/cart

*Non-Resident status applies to members living outside a 50+ mile radius of the golf course.