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Request Membership Information:
If you are interested in learning more about the Springfield Country Club in Springfield, Ohio, please complete this form and we will be in touch with you soon.
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone:
Email:
Residential Status:
Resident (lives within 25 miles of Club)
Non-Resident (lives further than 25 miles of Club)
Interest:
Golf Membership (also includes social membership benefits)
Social Membership
Clubhouse Dining Only Membership
Membership Type:
Family Membership (includes spouse or significant other living in household and dependent children ages 26 and under. )
Single Person (not married)
Single Person with dependent children ages 26 and under
Age of primary member:
21-39 (Young Professional Membership)
40-50 (Intermediate Membership)
51-71 (Regular Membership)
72 plus (Senior Membership)
Do you have dependent children age 26 and under?:
no
yes
Please list age(s) of dependent children:
Comments: