Range Membership Application
The fee for an annual range membership is:
$75 for Village of Lakewood residents
$95 for Non-Residents
Name: ___________________________________*
Address: _________________________________*
City: ________________ State: ___ Zip: _______
Home Phone: (___)_________________________*
Work Phone: (___)_________________________
Email Address: ________________________________________________*
Amount Paid: ____________ Date: ________
Method of Payment: Visa Mastercard AMEX Check Cash
Account # or Check #:_________________________ Exp. Date: ________
Signature: ____________________________________________________*
*required field
Instructions:
- Print this form by selecting the print icon in the lower right of the form and then use the print function in your browser.
- Complete the form and return it to RedTail Golf Club:
- In person; or
- Via Fax at 815.477.0479; or
- By Mail: RedTail Golf Club
7900 RedTail Drive
Village of Lakewood, IL 60014
attn: Chris Neuhart