2021 Cypress Creek Membership Application
34 Cypress Creek Crossing Cabot, AR  72023 | 501-605-8000            

Email *
MEMBERSHIP APPLICATION & AGREEMENT
Full Name *
Email Address *
Home Phone #
Cell Phone # *
Current Address *
Drivers License # *
Employment Information
Current Employer *
Employer Address
Employer Phone #
Joint Applicant Information
Name
Home Phone #
Cell Phone #
Email Address
Current Employer
Employer Address
Employer Phone #
Dependents Under 21 LIVING AT HOME
Name
Date of Birth
MM
/
DD
/
YYYY
Name
Date of Birth
MM
/
DD
/
YYYY
Credit Card # *
Security Code *
Expiration Date *
Membership Type Requested? *
Membership Type Continued *
I agree that I am responsible for payment, in full, of the current month’s dues by the 10th of each month.  I also understand that should THE GREYSTONE GROUP LLC d/b/a Cypress Creek Golf Club, not receive my payment by the 10th of each month, a late fee of $25.00 will be added to my bill and my credit card will be charged.  If dues are not paid within 30 days of the due date, my membership will be terminated and the account will be turned over for collection.  If a lawsuit has to be filed for collection, then I understand that I will be responsible for all costs and attorney’s fees incurred in the collection of the amount owed.I agree to remain a member of Cypress Creek Golf Club for an initial term of 12 months.  I further understand that this membership will automatically renew annually if The Greystone Group, LLC d/b/a Cypress Creek Golf Club is not notified, in writing, at least 60 days prior to the expiration of the membership.  The Greystone Group, LLC d/b/a Cypress Creek Golf Club may assign this contract.
Type Name for Signature *
___________________________________________________________________________THE GREYSTONE GROUP, LLC D/B/A CYPRESS CREEK GOLF CLUB ACCEPTANCE Sales tax of 9.50% will be added to all membership dues.
Membership Definitions Single: One individual Family: Two adults and their children, age 21 or under, residing in the same household Military: Full-time, active duty military personnel and family (as defined above)Corporate Individuals actively employed by the same company Junior: Minors 13 to 24 years of age enrolled as full-time students
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy