Family Golf Membership Application BHCC Membership Information Brochure Name * 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 Name * First Name Last Name Spouse's Phone * (###) ### #### Spouse's Email * Name(s) of Child(ren), if Applicable Member Birth Date * MM DD YYYY Spouse's Birth Date * MM DD YYYY Other Club Affiliations BHCC Member Sponsor Membership Type * Family Golf Membership 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
