Updated Credit Card Information

In order to keep your information up to date, Tuscawilla Country Club is requiring all members to re-submit a credit card authorization form.

If you have any questions or concerns, please let us know!

Please complete this form.

By signing below, you acknowledge and agree that we will securely keep your card on file for future transactions as needed.

Signature (Full name of Member) *

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

Membership Number *

Member Name *

First

Last

Type of Member)

Name on Card *

First

Last

Card Type *VisaMastercardDiscoverAMEXOther

Card Number *

Security Code *

Expiration Date *

mm/dd

Zipcode *

Would you like to use this card for autopay? *

• Yes
• No

Rules & Regulations Acknowledgement

• I’ve Read the Rules & Regulations attached

Submit

Please read the Rules & Regulations Attached below: