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2008 MWGA Membership
Application
To print this
page select (click on) the page, then print. Complete,
then mail
with payment . |
Name:
_________________________________________________________________________________________
Address:
______________________________________________________________________________________
City:
_________________________________________________ Zip +4: _________________ -
______________
Home Phone:
__________ ____________________ Business Phone:
__________ ______________________
Cell:
________ __________________ Email Addr.:
__________________________________________________
Birth Date:
_________________ Profession:
_______________________________________________________
Check one: New
Member ___ Renewal (was
2007 member) ____
Previous
member (not in 2007) ____
New members, who/what helped you decide to join
MWGA?: _______________________________________
| MEMBERSHIP
(09/15/07 - 12/31/08) |
Membership
Dues |
|
New
mbr - for new senior and regular members (not a previous
mbr) |
$30 ___ |
|
Super
Senior (age 70+) |
$30 ___ |
|
Senior (age 50 to 69)
|
$55 ___ |
|
Regular
(age 18
- 49) |
$60 ___ |
|
Student (age 21 or under, & in high
school or college) |
$25 ___ |
|
Associate (business or organization). Name of club or
affiliation: ________________________________________________________ |
$60 ___
|
Sponsored Male (for GAM HDCP
Service)
A member can sponsor a male (spouse or friend) to establish
his USGA index through the
MWGA.
Name: ______________________________________________
Phone: __________ __________________________________ |
$22 ___
|
|
Donation - All
donations are tax deductible. Receipts will be issued for
individual contributions over $250.For amounts less than $250, your
cancelled check will serve as your receipt. MWGA is a nonprofit
501(c)(3) charitable organization. |
$ __________
Total Enclosed:
________ |
Do you have a USGA Index?
_________
If
yes, is it through
MWGA? _________ Index is: _____________
If you have an index and do not post scores through
MWGA,
who do you post with? ______________________________
member #: ___________________
If not GAM, website address of handicap provider:
___________________________
A USGA index is NOT required to join
MWGA. If you do not have an index, it can be
established as a member through the
MWGA. You must establish an index to play in
MWGA tournaments.
Make check payable to:
MWGA
Mail Membership Application to:
Jane
Kersjes, 42155
Old Pond Circle,
Plymouth
48170-2569
Phone
or email questions
to (734-420-0854), kersjes@mwgolf.org
Membership packages will be mailed
in
mid-April;
after April,
within two weeks
of application
Membership includes discounted rates on
MWGA tournaments,
newsletters,
MWGA membership
directory, the USGA Rules of
Golf, official USGA handicap service, GAM
membership
(activated with
score posting).
Your name, address, phone numbers, email address, and USGA index will
be published in the membership directory. If you object to the publication of any of this
information please list what you’d like omitted:
______________________________________________________________________________________________
__ I’d like to volunteer to help the
MWGA at events, or on
committees, etc.
__ I wish to
receive MWGA
communications, including NEWSLINX, via my e-mail
address noted
above
__ I play on a
league (include course, organization, day, time, contact):
______________________________________
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