Please read Membership Information and Tournament Policies before submitting this application. Links to both documents appear on the website under my photo.
Membership is now open. Please submit your application no later than one month prior to entry in your first tournament. With prior permission, membership applications may be sent together with the application for the player’s first tournament.
Name: ___________________ _____________________________
Handicap number (fill in one):
GHIN: __ __ __ __ __ __ __
GSG: __ __ __ __ __ __ __ __ __ __
Other: Name _____________________ Number: _____________________
Current Handicap Index (must not exceed 22.0 for men, 28.0 for women): ____
Home Club: ____________________________
Approximate number of rounds played in the past 12 months: ____
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
Mail this form with a check for the $10 membership fee to:
Linda Miller
48 Cherry Street
Mount Holly, NJ 08060
