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Membership Application Form

The information gathered by The Peaks on your inquiry form is held in the strictest confidence. We ask each new member for a proposer and a seconder from existing members. If you do not know any Georgian Peaks Members, leave these fields blank and we will arrange a visit for you at The Club to meet members.
First Name:
Last Name:
Spouse Name:
Company/Occupation:
Ages of Children:
Address:
Home Phone:
Business Phone:
Chalet Phone:
Fax:
Email:
Proposer:
Seconder:
Lifetime Membershipor    Annual Membership
Jumbo Lockeror    Regular Locker
Are you a member
of any other clubs?
Please list:
Comments or
Questions?
      

 

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