Become a Member | Philadelphiacc

Philadelphia Country Club
Membership Application

10100 Country Club Dr.

Philadelphia, MS 39350

First Name

Last Name

Address

Phone

Occupation

Business Firm

If married, spouse's name

Children

Recommended by

Bank Name

Address

City, State, Zip

Bank Routing #

ACCT #

After receiving this notice of intent, the Board of Directors will review your application.

You will be notified of approval after the next Board of Directors meeting or your money will be refunded.

Membership Type (Prices Effective April 1st 2023)

Standard Membership $130

Membership w/ Off Premises Cart $145

Membership w/ Carthouse $155

By signing my digital signature I hereby give authorization to initiate debit entries to my account listed above for membership payment. This includes initiating debit entries, as well as credit entries if needed to correct erroneous debit entries. This authorization will remain in effect until my written notification is received by the company in time for the company to act accordingly.

Date

By clicking the Submit Application below you are agreeing to apply for membership in the Philadelphia Country Club, and if approved, will conform to all rules and regulations governing members.

Thank you for submitting your application!

Philadelphia Country Club Membership Application

Philadelphia Country Club
Membership Application