Membership Information Change Form

Are you looking to: *

Make a change to your current contact information, payment, category etc.?

Resign your membership for 2025.

If you are looking to resign your membership, please complete this form.

RESIGNATION FORM >>

MEMBER INFORMATION

Is this change for 2024 or 2025? *

2024

2025

First Name *

Last Name *

Email Address *

Member Number *

What is your current membership type: *

What would you like to change *

Contact Information (Email, Phone Number, Billing Address, Emergency Contact)

Payment Type for Membership Account or House Account

Changing Your Membership Category

Change Payment Frequency (Monthly or Annually) - Golf & Tennis ONLY

Link Account to a Family Member

Please note that changes will be made within 3-5 business days.

Contact Information

Email Address (If Changing)

Phone Number

Street Address

City

Province

Postal Code

Emergency Contact Information

First Name

Last Name

Phone Number

TENNIS/GOLF ONLY:
Would you like to change from Monthly or Annually?

I would like to change:
Please reference the latest membership package for payment options. *

From Monthly Payments to Annual (One Time) Payment

From Annual (One Time) to Monthly Payments

Payment

Payment Terms and Method

Are you changing your payment type for *

Membership Account

House Account

Payment Method *

Credit Card

Direct Withdrawal (PAP)

Please note that there will be a 3% credit card fee on membership fees only.

Name on Card *

Credit Card Type *

Credit Card Number *

Expiration Date (mm/yy) *

CVC *

Name on Account *

Bank Name *

Transit No. *

Institution No. *

Account No. *

Upload a void cheque:

Sample Void Cheque

*The Member hereby agrees to provide Greenhills Valley Holdings Limited with a valid Credit Card (VISA, MC, or American Express) account number. The Member hereby authorizes Greenhills to charge the credit card with any amounts owing to Greenhills which are not paid by the due date. *I authorize that my House Account charges, Monthly Dues and Membership Fees will be processed to my credit card on each appropriate due date. If any settlement is declined by the card centre, I have two business days grace to ensure that the amount owing plus a $25 administration fee is paid, otherwise late payment charges will be incurred. *

clear

Category Change

Please note that if you wish to change to a different category and there is a waitlist, we will confirm that you have been accepted on the waitlist.

I would like to change my category from: *

I would like to change my category to: *

Would you like to choose the Annual payment plan or the 6 installment payment plan? *

Pay in Full

Payment Plan: 6 Payments (Jan, Feb, March & Oct, Nov, Dec)

Link a Household Member to Your Account

Who will be the Primary Account Holder *

Please list the member's of your household that you would like to link to your account.

	First name	Last name	Member number
Person #1	First name	Last name	Member number
Person #2	First name	Last name	Member number
Person #3	First name	Last name	Member number