SWSGA MEMBERSHIP APPLICATION FORM

(or Membership Annual Dues)
 

Please fill out this form and mail with your check for $125
Make checks payable to SWSGA, PO Box 26112, Phoenix, AZ  85068

 

 

Name_______________________________________________

Email: _______________________________________________


Membership:    ___ Renewal (Max Hdcp=14)   or   ___ New (Max Hdcp=12)

New Member GHIN #  ___________________

All memberships are subject to Board approval

Address: ____________________________________________


City: _______________________  State: _____  Zip:_________


Phone: (_____) ______ - ____________


Age________    Date of Birth  ____/____/________

 

Pro_______    Am________ (check one)

 

 

Golf course affiliation ___________________________________

 

Referring Member: _____________________________________

 

Amount Enclosed ______________