800 Virginia Center Parkway • Glen Allen, VA 23060
804.261.0000 • thecrossingsgc.com
2017 PRACTICE LEARN PLAY PROGRAM
Practice Learn Play offers Players the following member benefits. In consideration for the prepaid fee, the Player
and any included family members listed below shall have the following privileges:
(i)
(ii)
(iii)
(iv)
(v)
Unlimited range practice, including range balls, seven days a week providing the range is open;
Unlimited instruction privileges during scheduled instruction times at the range – prior
scheduling may be required;
Playing privileges: free afternoon golf (cart fee applies) Monday through Sunday one hour after
twilight.* Other scheduled times will be charged at our league rate.
15% off golf shop merchandise (excludes golf balls and tees);
10 Day advanced tee time booking
*starting time subject to change and based on tee time availability
The Practice Learn Play program is available for the Player and, for an additional fee, can include up to two (2) of the
Player’s immediate family members. Upon execution of the Agreement and payment of the Plan Fee indicated
below, the Player and named immediate family members shall have access to the Practice, Learn, and Play
privileges.
Plan Fee: Prepaid range fees are as follows – please select one by providing pass holder name(s).
Individual $49.99
Pass Holder Name
Add on Family Member $59.99
Pass Holder Name
Family Member
Add Two Family Members $69.99
Pass Holder Name
Family Member
Family Member
Payment: Installment Payment Plan
I wish to pay my Plan Fee in monthly installments to be due the 15th day of each calendar month of the Term.
Club is hereby authorized to make a charge to my Credit Card on file, in the amount of $
per month.
I understand this amount shall be pro-rated if I enroll after the term begins, and that I am committing to installment
payments through the end of the Term listed above. I agree to report to Club all changes to above credit card
information within (10) ten days of the change. I agree that club is not responsible for any charges or expenses
(e.g. for overdrawn accounts, exceeding credit card limits, etc.) resulting from charges billed by Club.
I agree to pay the charges by the due date and understand that I will forfeit my privileges and will be unable to
sign up for the installment payment plan in the future should an installment payment not be made for any reason.
Upon cancellation of this agreement I furthermore agree to turn over my range pass within 10 days of cancellation.
Date: __________________
Credit Card Holder Signature:
Name on Credit Card:
Practice Learn Play Billing Information:
The Crossings Golf Club
800 Virginia Center Parkway
Glen Allen, VA 23059
Billing Address:
Home/Cell Phone:
Tel: 804.261.000
Work Phone:
E-mail Address:
800 Virginia Center Parkway • Glen Allen, VA 23060
804.261.0000 • thecrossingsgc.com
FOR OFFICE USE: To be filled out by Crossings employee
Membership #:
Member Name:
Credit Card Number:
Expiration Date:
This document will be destroyed after the information is entered into a secured database.
Membership #:
Additional Family Member Name:
Membership #:
Additional Family Member Name: