Pass Application

Name: __________________________________________
Address: ________________________________________
City: ______________________ Sate: ____________
Phone: ____________________ Zip: _____________
E-Mail: __________________________________________
I am applying for the following type of pass:
Copper Pass: _______________
Individual:____     Couple:____ Student / Junior:            
Copper Twilight Pass:_______________
Individual:____ Couple:____ Student / Junior :____
Gold Pass: _______________
Zinc Pass: _______________
 Individual:         Couple:____ Student / Junior:____
Eligible family members
Spouse:__________________________________________
Other Services: Number Participants
Golf Handicapping: $20         ___________
Locker Storage: $75         ___________
Club Storage: $75         ___________
Method of payment: Cash__ Check__ Credit Card__
Credit Card #:_____________________________________
MasterCard__ Visa__ Discover__ AMEX__
Expiration Date:___________________________________
Cardholder's Name:_______________________________
Cardholder's Signature:____________________________
Cancellations of passes / Rights of pass holders

Old Works reserves the right at any time to cancel any seasonal passes issued to any applicant. These passes do not include any share, interest or ownership of any kind in Old Works. I have read and agree to abide by the Old Works Golf course rules and regulations, as they now exist or may hereater be amended.

Signature:________________________________________
Spouse Signature:_________________________________
Date:____________________________________________
Please remit to the Golf Shop or mail to:
Old Works Golf Course
General Manager
P.O. Box 100
Anaconda, MT 59715