MEMBERSHIP APPLICATION : you can select between the double lines and print out the form, or download here. This information is needed, so please fill this form out completely. Name______________________ Address____________________ City______________Zip______ Home#_____________________ Work#_____________________ Cell#______________________ Email_________________________________________________ GHIN Handicap #____________ 2010 Member Yes No Junior 17 & Under Yes No (All players, we need your age and date of birth, please.) Age___Date of Birth_________ Please make checks payable to: Tri Mountain Men’s Club
2011 Men’s Club Fee $65 (Your 2011 Membership Fee includes the OGA Handicap Fee.)
Please mail checks to: Tri Mountain Men’s Club Po Box 724 Ridgefield, WA 98642 |




