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New Member Form
To register with our club, simply fill out the form below. The information with an asterisk (
*
)
next to it, is required.
New Members Fee is $125.00.
Sign up today and membership is good for one year from the date you sign up.
Once you have paid for your membership, you will receive an e-mail from our Membership Chairman confirming your membership (and GHIN number, if your do not already have one).
If you fill out this form and intend to pay by credit card later, you will need to go to your Player Profile using the Players menu at the top of our webpage. If you have filled out the form and submitted it your name will appear in the pulldown menu of players. You do not need to fill out this form again to get to the payment link.
Once you have become an active member, you can then decide what information is to be shown or not-shown on your own player webpage.
To learn more how you can use this page and get the most out of your own player profile, click here.
Personal Info
*
7-Digit GHIN Index Number:
(if Known):
(
note:
no hypens or dashes)
Previous club or current other club:
Club Affiliations:
PLGA
SCGA
PLGA and SCGA (both)
WPLGA
SDCWGA
First Name:
*
Last Name:
*
Gender:
male
female
Birthdate:
*
(mm/dd/yyyy)
(
Note
: 18 and under qualifies as Junior)
Address:
*
City:
*
State:
*
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
Select State
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
Zip Code:
*
Home Phone:
*
999-999-9999
Cell Phone:
999-999-9999
Personal Email:
Not required but it is strongly recommended as this will be the club's main avenue of contact with its members.
Professional Info
Profession:
Business Name:
Address:
City:
State:
Select State
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
Select State
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington, DC
West Virginia
Wisconsin
Wyoming
Zip Code:
Phone:
999-999-9999
Fax:
999-999-9999
Business Email:
Website
(put in full path: http://www.website.com)
Additional Information, Comments, Questions, etc.
(
note:
If you have any comments or questions, enter them below. If you are initializing a new handicap, we will need your last 5 scores including the course(s) you played, rating and slope of the course(s) you played, date played and the your
score.)
By clicking the "Submit New Member Application" button below, I hereby submit my membership application for acceptance into the SMGC.
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