NCR Country Club
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Membership Process


Membership subject to the stated application process.

Click Here to View Application Procedures

An automatic email replay will come when the application has successfully been submitted.


Associate Membership Application
NCR Country Club
4435 Dogwood Trail Dayton, Ohio 45249
Office: 937/299-3571   |   Fax: 937/643-6900

* Denotes Required Field


I wish to apply as a candidate for Associate Membership in the NCR Country Club (choose one)

 Family Golf Corporate Young Executive Patriot Social Non-Resident
 Applicant 
Name*:
Birth Date:
Years of Residence in Dayton Area:
 Social Security Number:
Street Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email:
Locker Nameplate:
Profession / Occupation:
Employer:
Business Phone:
Business Email:
 Applicant's Spouse 
 Spouses Name:

 Birth Date:
Wedding Anniversary (if applicable):
Cell Phone:
 Email:
 Locker Nameplate:
 Profession / Occupation:
 Employer:


 Additional Information

I am, or have been, a member(s) in good standing in the following social clubs:

Clubs & Dates
Please List the Name and Birthdate of children under the age of 25 and living at home: 
Please list any current NCR Country Club Members you may know: 
NON-MEMBER PERSONAL REFERENCES
Personal References are required by the Board of Trustees for consideration
Reference 1
First Name:
Last Name:
Home Phone:
Business:
Address:
City:
State:
Zip:
How long acquainted:
What is your association:
Reference 2
First Name:
Last Name:
Home Phone:
Business:
Address:
City:
State:
Zip:
How long acquainted:
What is your association:
Reference 3
First Name:
Last Name:
Home Phone:
Business:
Address:
City:
State:
Zip:
How long acquainted:
What is your association:
Completed application must be accompanied by signed letters of recommendation from
TWO (2) current members of NCR Country Club.
Email recommendations may be submitted to Kerry.Pool@ncrcountryclub.com.
Enter Verification Code*:    
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