Birkdale Golf Card Membership Application
Please complete this form in its entirety and we will immediately process your application. New members typically receive their cards within a few days.

Person placing and paying for this order:

Purchaser Name
Address
City, State Zip
Home Phone
Work Phone
Birth Date
Email

Credit card information.

Credit Card
Account Number
Exp. Date

First person card is being purchased for:

Please Choose
1 Year Membership $38.28 (includes NC sales tax & shipping)
Begin Membership
Mail card to: Purchaser Gift Recipient
Name to be put on membership booklet
Click here if address is the same as purchaser otherwise complete address below.
Address
City, State Zip
Home Phone

Second person card is being purchased for:

Please Choose
1 Year Membership $38.28 (includes NC sales tax & shipping)
Begin Membership
Mail card to: Purchaser Gift Recipient
Name to be put on membership booklet
Click here if address is the same as purchaser otherwise complete address below.
Address
City, State Zip
Home Phone

Third person card is being purchased for:

Please Choose
1 Year Membership $38.28 (includes NC sales tax & shipping)
Begin Membership
Mail card to: Purchaser Gift Recipient
Name to be put on membership booklet
Click here if address is the same as purchaser otherwise complete address below.
Address
City, State Zip
Home Phone

Fourth person card is being purchased for:

Please Choose
1 Year Membership $38.28 (includes NC sales tax & shipping)
Begin Membership
Mail card to: Purchaser Gift Recipient
Name to be put on membership booklet
Click here if address is the same as purchaser otherwise complete address below.
Address
City, State Zip
Home Phone

Fifth person card is being purchased for:

Please Choose
1 Year Membership $38.28 (includes NC sales tax & shipping)
Begin Membership
Mail card to: Purchaser Gift Recipient
Name to be put on membership booklet
Click here if address is the same as purchaser otherwise complete address below.
Address
City, State Zip
Home Phone