<p>Nicolet Country Club, Inc. Phone: 715-674-4780 P.O. Box 56 Email: [email protected] Laona, WI 54541 or [email protected]</p><p>2015 NON-STOCKHOLDERS FEE SCHEDULE & MEMBERSHIP ENROLLMENT FORM Please circle all the items that pertain to your membership and return this form with payment.</p><p>Postmarked: Before 2-1-2015 Before 4-1-2015 On or After 4-1-2015 Single Membership 515 525 535 Married Couple Membership 675 685 695 *Family Membership 770 780 790 **Student Membership 100</p><p>Single Range Pass 65 Name: ______Married Couple Range Pass 80 Names: ______Family Range Pass 110 Names: ______</p><p>Cart Storage Gas Cart 265 285 Storage #:______Cart Storage Electric Cart 330 350 Storage #:______Off Premise Cart Fee 160 180 Storage #:______Extra User of Private Cart 110 Cart Name:______</p><p>Upper Locker Rental 25 Locker #:______Lower Locker Rental 30 Locker #:______</p><p>W.S.G.A. Handicap Card 22 Name for Card:______Handicaps are used for USGA approved tournament play, NCC Club Championship & other NCC tournaments. The WSGA has increased its individual member fee from $21 to $22.</p><p>Total Fees: $ ______. Names of Members Ages of Children on Family Membership Only 1. ______2. ______3. ______4. ______5. ______</p><p>Winter Address:______Summer Address (or write same):______Phone Number:______Email:______*Family Memberships include husband, wife, & children in high school or students up to 4 years of college after high school. **Student membership includes students up to 4 years of college after high school.</p>