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I hereby apply for membership and the resultant rights and privileges therein. Under the EOY Membership Offer, in exchange for paid initiation fee, I receive free fall golf dues free until January 1, 2018. Food minimums waived 2018. Applicant is entitled to full club privileges starting immediately to include unlimited golf greens privileges, golf practice facilities, pool, fitness center, private dining privileges, room rental, social event access for the family. Cart fees not included. *
I understand.
Full Name
Membership bylaws require the Member to pay dues and all other additional ancillary charges to your member account by auto billpay. Initiation is due at enrollment. I am paying for my $3500 Initiation fee deposit today in exchange for a dues free membership until 2018 by the following credit card:
Visa   Mastercard   Discover   American Expresss  
Credit Card Number:
Credit card expiration Month/Year:
Credit card holder full name:
Credit card billing zipcode:
Date of Birth
City, State
Zip code
Does spouse golf?
Would be interested in the Free Golf Clinics and learning
Spouse Name
Spouse Email
Spouse Date of Birth
Spouse Employer:
Spouse Job Title:
Unmarried Children (26 years and under):
Child #1 Name & DOB:
Child #2 Name & DOB:
Child #3 Name & DOB:
Child #4 Name & DOB:
Child #5 Name & DOB:
Referred by:
After the dues free period, dues commence January 1, 2018 with the membership level I choose. Starting January 1, I elect membership level: *
Social. $160/month.
Jr. Single Golf (21-35yrs) $226/month.
Single Golf (36yrs-up) $283/month.
Jr. Family Golf (21-35yrs) $301/month.
Family Golf (36yrs-up) $376/month.
2nd Club Membership $182/month.
A semi-annual food minimum ($300) is required for all Membership Levels. This requirement will be waived your first year (2018) under the End of Year Membership Offer. (1)Club storage (1) Men's Golf Association, and Hole-in-One Fund ($2) participation is required per Golf Membership. I understand Membership terms are annual and run July-July; the Club requires a 30 day written notice by the June 1st deadline should I opt to not renew my membership. *
I understand.
I would like to add the following services to my account:
Men's Golf Association $100/year (required with Golf Membership)
Men's Locker Rental-Half $85/year
Men's Locker Rental-Full $125/year
Men's Club Care-Bag Storage $115/year (required with Golf Membership)
Men's Handicap Services $35/year
Ladies' Golf Association $35/year
Ladies' Locker Rental-Half $40/year
Ladies' Locker Rental-Full $80/year
Ladies' Club Care-Bag Storage $115/year
Ladies' Handicap Services $30/year
I would like to be contacted by a Men's Golf Association Ambassador
I would like to be contacted by a Ladies' Golf Association Ambassador
Pull Cart Storage $50/year
Jr. Club Storage $35/annually
I hereby apply for membership at The Field Club of Omaha. If this membership application is accepted, I agree to comply with and be bound by the Club’s Rules and Regulations as they may be amended from time to time. I understand and agree that if the Club does not accept this application, all funds paid for the membership will be promptly refunded, and this application will be cancelled and will not be binding on either party. The Club reserves the right to decline this membership application at any time in its sole discretion. If my application is approved my membership will begin on the date a duly authorized representative of the Club executes the “Approved By” line. Approved by_________________________on this ____date of _______, 2017.
I understand.


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The Field Club of Omaha | 3615 Woolworth Avenue | Omaha NE 68105 | Office: 402.345.6343 | Golf Shop: 402.345.6347
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