Individual Sports Membership Application Name * Please note: Individual Sports Memberships are limited to single or widowed individuals. First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Summer Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email Address * Spouse's Email Member Birth Date * MM DD YYYY Other Club Affiliations BHCC Member Sponsor The Director of Membership, Chad Penman, will contact you within a week. If your application is accepted, you will be provided with additional membership materials and payment information.Thank you for your membership interest to the Boothbay Harbor Country Club.If you have any questions or comments please contact:Boothbay Harbor Country ClubAttn: MembershipPO Box 757Boothbay, ME 04537chad@boothbayharborcc.com