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Annual Golf Registration
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Annual Golf Registration
1
Member Information
2
Golf Options
3
Billing Information
Annual Golf Registration
This form is to register for: ANNUAL Golf Green fees and/or Seat Lease/Private Cart
The fee for an Activity Card is included; you do not have to register separately for this card.
If your Activity card is expired/expiring, do not worry. You may use your email confirmation once you submit this form as your proof of renewal.
Complete one form for EACH person making a purchase.
You may NOT register online for a monthly golf bank draft. A Monthly Payment for Annual Golf registration requires specific information from Member Services and must be done over the phone at (479) 855-8000, Option 2.
Member ID
*
Member Name
*
First
Last
Member's Mailing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Email
*
Phone
*
Activity Card Included
Price:
Good for 12 months from date of purchase, the POA Activity Card allows Members to use facilities and amenities at the reduced
Member rate
. Additionally, Activity Card holders get discounts at POA dining establishments.
Total (Includes Activity Card)
$0.00
Annual Golf Green Fee
No
1st Member ($1600)
2nd Member ($1300)
Annual Golf Green Fee Members are required to purchase an accompanying Seat Lease or register a Private Cart.
Golf Assurance Program
No
New GAP ($125)
Renewal GAP ($0.00)
When you purchase an AGGF and elect the Golf Assurance Program option, if you become injured or ill, you can suspend your AGGF and corresponding Seat Lease or Private Cart Registration for up to six (6) months.
Learn More
Private Cart Registration
No
1st Member ($500)
2nd Member ($200)
A registered private cart can be used at any of the golf courses operated by the POA.
Annual Seat Lease
No
1st Member ($500)
2nd Member ($200)
A Seat Lease entitles the lease holder to use a POA owned cart at any of the golf courses operated by the POA.
10 Play Pre-Pay Rounds Package
No
Ten Play Pkg ($330)
For $330, a Member with a current Activity Card has the privilege of inviting guests to play golf at any Bella Vista Property Owner’s Association (“BVPOA”) golf course at the $33 Member price for an 18-hole prime time round which includes green fee and cart. Members must remain in good standing with the BVPOA. Member must either accompany Guest or call the Pro shop where guest will be playing and notify them. This virtual card is good for 24 months.
Learn More
Kids First Golf Bundle
No
Yes ($100)
Kids accompanied by the card holder between the ages of 6-18 play for free after noon on any course.
Kids First Golf Bundle (AGGF)
Yes (Included)
Kids accompanied by the card holder between the ages of 6-18 play for free after noon on any course.
Agreement
*
I AGREE TO ALL
TERMS AND CONDITIONS
Billing Name
*
First
Last
Billing Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Credit Card
*
American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
Expiration Date
Security Code
Cardholder Name
Total
$0.00
Name
This field is for validation purposes and should be left unchanged.
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