Membership Form and Dues Structure

Membership Questions please email: ccgreenfield@crocker.com

**Only New Members need to fill out membership form.**

Contact Information

Your Name*

Your Birthdate*

Street Address*

Town*

State*

Zipcode*

Home Phone

Cell Phone

Email Address*

Please indicate Membership Category

Membership Category

2025 MEMBERSHIP PRICES and MEMBERSHIP CATEGORIES

If paying for a Family Membership, use fields at the bottom to specify the additional names. New members over the age of 33 get the new members introduction fee of $1099.00 . NEW MEMBER DISCOUNT IS ONLY AVAILABLE TO ANYONE WHO HAS NEVER BEEN A MEMBER OF THE COUNTRY CLUB OF GREENFIELD or combined with Fall Membership special.

All Membership are eligible for $150.00 Total discount off their membership (except pre Junior and New Member Introduction rate) if paid on time Feb. 1st / April 1st, $75.00 off each payment.

Please note: Age is based on YOUR AGE AS OF APRIL 1ST

Membership Type

NEW MEMBER DISCOUNT Individual $1099 (Can't be combined with Fall Membership Special)

Handicap Fee

$40.00

2025 Cart Membership

Single: $700.00 Must be paid in full by 4/15
Family: $1050.00 Two family members must be paid in full by 4/15

Family Membership Names

Please list names of spouse and children living in household under age 26:

Spouse

Child1

Child2

Child3

Child4

Dues Payment Schedule:

First 33% payment: February 1st Deduct $75.00 off your bill for on time discount
Second 33% payment: April 1st. Deduct $75.00 off your bill for on time discount
Final 34% balance is due May 15th no discount

Your Sunday Color*

You will be asked to submit any payments on the next page.

Please review what you entered before you click the Submit button, and click it ONLY ONCE.