Request Membership Information
Membership classifications are based on the closest residence you own, lease, or otherwise reside to the Club in air miles. Please use the closest address.
Contact Information 
First Name*:
Last Name*:
  
Home Address 1:
Home Address 2:
City*:
  
State*:
 
Postal Code*:
  
Country:
Contact Information 
Phone Number:
 
Email Address*:
Information Requested
Employer
Position/Title
Company Website
Please Identify Your Area of Interest:
(select all that apply)
 Golf
 Racquets
 Fly Fishing
 Social and Dining

How did you hear about Saucon Valley Country Club?
Do you currently belong to a club?  Yes  No
If you selected yes, please list your current club(s):


Please list any members with whom you are acquainted.





Do you have a parent or grandparent who is a member/former member of the club?  Yes  No


Are you under age 35 and interested in a Junior Membership?  Yes  No


Additional Information
Comments or Additional Information: