Membership Application, 2015

Please read Membership Information and Tournament Policies before submitting this application. Links to both documents appear under JUSTGOLF LINKS.

Name: ___________________           _____________________________

Handicap number (fill in one):

     GHIN: __  __  __  __  __  __  __     or     Golf Handicap Network: ________________

         

Current Handicap Index: ______ . ____   (must not exceed 22.0 for men, 28.0 for women)

Home Club: _____________________________________________

Cell phone number:     (_____)  _____  –  ______________________

Home phone number: (_____)  _____   –  ______________________

E-mail address: ______________________________________________

Date of birth:  ________________      _____      _______

                        Month                            Date          Year

Home address: _____________________________________________________

                          _____________________________________________________

My signature below certifies that I post scores correctly, following all acceptable rounds:

______________________________________________________

Signature

Please mail this form with a check payable to "Linda Miller" for $15 to:

            Linda Miller

            48 Cherry Street

            Mount Holly, NJ 08060