New Membership – Add a Card on File

Thank you for your business! By completing form below, you are authorizing the club (Tuscawilla Country Club) to charge your credit card for agreed-upon purchases. By signing below, you acknowledge and agree that we will securely keep your card on file for future transactions as needed. If you have any questions, feel free to contact us.

Signature (Full name of Member) *

By signing electronically, I’m agreeing to the statement above

Member Name *

First

Last

Name on Card *

First

Last

Card Type *VisaMastercardDiscoverAMEXOther

Name to Code

Card Number *

Security Code *

Expiration Date *

mm/dd

Zipcode *

Would you like to use this card for autopay? *

• Yes
• No

Submit