Request Membership Information

Please fill out all information in red to successfully submit this form. Thank you.

Contact Information

Requested Information

First Name:

Age Range:
21-30 31-40 41-50 51-60 61+

How many times per month do you play golf?
1 2-4 5-10 11-15 16+

Have you visited Glen Oak before?
Yes No

Are you a member of a private club?
No Yes
Club Name:

How did you hear about Glen Oak?
Current member Internet Mailing

What kind of membership best fits your needs?
Senior Golf Associate Golf Non-Resident Golf Social





Last Name:

Address 1:

Address 2:





Home or Cell Phone:

Work Phone:

Email Address:


Please Note: By submitting this form you acknowledge that you wish to be contacted about membership to Glen Oak Country Club.