2017 NCGA Men's Club MEMBERSHIP

Primary Member________________________________Date of Birth_______

Current NCGA GHIN # if you have one. ______________

Secondary Member  _____________________________Date of Birth_______

Current NCGA GHIN # if you have one. ______________

Additional Member______________________________Date of Birth_______

Current NCGA GHIN # if you have one. ______________

Junior   _______________________________________Date of Birth_______
Current NCGA GHIN # if you have one. ______________

Junior  ________________________________________Date of Birth_______
Current NCGA GHIN # if you have one. ______________

 ______ Adults @ $85.00= _______
 ______ Juniors @ $20.00 =_______(under 17)
 ______ Handicap Only Member @ $60.00 =_______
(Only for Sport / Social Members)
Address: ________________________________________

City:       ________________________________________ Zip ________

Phone: _________________________ Work Phone:_______________________

Email:____________________________________________________

Renewal________ New Member________ Transfer_______
Membership includes Official Computerized Handicap, NCGA Magazine, and Blue Book (listing of all clubs in N.Calif)
Please leave this application in the Men’s Club box to the right of the NCGA computer or with the membership director,
your Oakhurst account will be billed annually.