Membership Payments – Credit Card

Please complete the form below. You will be taken to a secure page to complete your membership payment.

Fields marked with an asterisk* are required:

Your Name *

Email Address *

Phone Number *

Membership Category *

Single ($925)
Couple ($1600)
Family ($1900)
Junior ($225)

For each additional person, please include name, birth year (for Juniors only), and email address: *

New or returning member?

New
Returning

Primary Address

(required)

Address Line 1

Address Line 2

City

State

Zip Code

Mailing Address (if different)

(optional)

Address Line 1

Address Line 2

City

State

Zip Code

Additional Information

Your Date of Birth (Juniors only)

Emergency Contact Name *

Emergency Contact Phone *

Refer a Friend? *

Please include name and email address (you may enter more than one):

I agree to let Blue Rock Golf Course process and store this information to review my application *

We collect and maintain only the personal information necessary to provide services you request, and we protect this information from unauthorized use. We also provide you with a method to remove your personally-identifiable data from our systems, should you choose to do so. For information, see our our Privacy Policy.

Payment By Credit Card

I confirm that I am paying by credit card

Simply click the "Submit" button below to complete your membership payment on the next screen.

Blue Rock Golf Course

48 Todd Road
South Yarmouth, MA 02664

TEL: (508) 398-9295

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