Beaconsfield Golf Club 49 Golf Avenue Pointe-Claire, Qc H9S 4N6 Tel. (514) 695-2661 Fax (514) 695-0961 www.bgcinc.ca

Name of Applicant Applicant’s Date of Birth

Please provide information regarding your Forest and Stream Club Member Status Category of membership at The Forest and Stream Club:

Year of joining The Forest and Stream Golf Club:

Name of Employer Position/Title

Mail statements to: □ Home □ Business Address Preferred email address: □ Personal □ Business email

Business Address Address: City: P/Code: Tel.: Fax: Business Email:

Residence Address Address: City: P/Code:

Tel.: Cellular: Personal Email:

Name of Spouse Spouse’s Email

Other Club memberships

Please list the names of any Beaconsfield Golf Club members you know

I agree, if elected to Membership in Beaconsfield Golf Club, to abide and be governed by its constitution & regulations and house rules.

Signature: ________________________________________ Date: ________________________________________

Application Approval – Forest and Stream Club Application Approval – Beaconsfield Golf Club Name: Shirley McLeod Name: Jim Cadieux

Signature: D / M / Y Signature: D / M / Y Please return this form to: Ms. Shirley McLeod, General Manager | The Forest and Stream Club 1800 Lakeshore Drive, Dorval, Qc H9S 2E6 | Tel. 514.631.7101 | Fax 514.631.3239 | email: shirley@forestandstream.ca

APPLICATION FORM BGC AND F&S

RECIPROCITY MEMBERSHIP May 1, 2016 to October 31, 2016

Confidential