Freeway Golf Course
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First Name Last Name MI
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Street Address or P.O. Box #
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City State Zip
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E-mail Address Phone #
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Type of Permit
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Signature Date
(Select One) (Cart Option)
Unlimited Individual $1275.00 Unlimited Cart $1200.00
Weekday Individual $1150.00 Weekday Cart $1000.00
Weekday Senior $995.00 Weekday Cart $1000.00
Unlimited Family $2300.00 Unlimited Family Cart $2400.00
Weekday Family $2050.00 Weekday Family Cart $2200.00
Weekend Individual $925.00
Payment Plan (Option)
1. First Installment $__________ 2. Second______________ 3. Final Payment $_______________
Total Paid $____________
Regulations Governing Permit Sales
2010 permits expire on December 31, 2010. All 2011 current permit holders who purchase a 2011 permit in the month of
September will receive a 5% discount, and if balance is paid before the end of November you will receive an additional 5%.
If not, the balance must be paid in full by January 3, 2011. NEW permit holders purchasing a 2011 permit in the month of
September will be able to play through December 31, 2010, providing 50% of the cost is paid down, and the balance must be
paid in full by January 3, 2011, which will allow you 16 months of playing privileges. NOTE: All family permit purchases
must consist of Husband/Wife or dependant. Permit holders must register in the Pro Shop before playing golf. All permit
holders not adhering to the rules of Freeway Golf Course may have their Permit revoked. Permits are NON-
TRANSFERABLE or REFUNDABLE.
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GPG&CC Employee
