Ms.
Mr. Mrs.
(circle one) |
First Name:
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Last Name: |
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Address: |
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City/State/Zip: |
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Telephone:
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Email Address: |
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Membership
Classification (please check one): |
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Men (18-49) $60: |
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Ladies (18-49) $60: |
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Juniors (under 18) $35: |
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Seniors (50+) $50: |
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Super Range Golf
Club Membership Status (check one): |
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Renewal ________ New Member ________ |
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New Member
Information: |
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Transfer from
(club name): |
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GHIN number:
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Dual
Membership: |
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Club
number: |
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Please check here
if you are a Columbia Super Range member: ________
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Questions??
Call Class "A" Golf at (425) 357-8581 |
