Mountlake Golf Club Membership Form
Personal And/Or Business Information
Individual and Corporate Membership Types and Status
I am:
Or:
2009 Active Member List
Sigmund Andreassen
Cory Antonsen
Kathy Archer
Larry Blair
James Coons
Hal Crabb
Jim Cummings
Jeff Dale
Wally Dean
Diane DeMasi
Tom DeMasi
Richard Eller
John Erickson
Kurt Galley
Brian Grabinski
Roy Hardisty
John Harvey
Pam Harvey
Brian Holm
Dale Hopper
Barry Hutton
Keith Jackson
Ed Kellison Jr.
Jack Kirkham
Kym Kvinge
Owen Kvinge
Charles McKern
Dennis McLaughlin
Erik Moldstad
John Nicholson
Jim Odle
Rick Painter
George Paris
Gary Porter
Bob Robertson
Richard Ruiz

Mike Russell
Jim Seagren
Randal Schuld
Ray Schuld
John Sleighter
Art Sullivan
Bruce Theimens
Dale Walker
David West
Evelyn Williams
David Wilson
Applying as a New or Renewing Individual Member. $60.00 Membership Fee.
Applying as a New or Renewing Corporate Member.
$250.00 (One (1) Corporate Membership)
$500.00 (Two(2) Corporate Memberships)
$750.00 (Three(3) Corporate Memberships)
$1000.00 (Four (4) Corporate Memberships)