2010 MEMBERSHIP APPLICATION

ZIA SENIOR MEN’S GOLF CLUB

POST OFFICE BOX 874

FAIRACRES,

NEW MEXICO 88033-0874

(Open to Male Residents of Sun Country Golf Association

Born before January 1, 1961)

PLEASE PRINT ALL INFORMATION CAREFULLY

FULL NAME: ___________________________________________________________________

NICKNAME: ____________________________________________________________________

TYPE MEMBERSHIP: NEW $25 with E-MAIL address, without $40.00

CONTINUING $25 with e-mail, without E-MAIL __________@ $40.00

New and Continuing members with a friend willing to print the Zia Communications For him $ 25.00

MAILING ADDRESS: __________________________________________________________________________

__________________________________________________________________________

TELEPHONE: Home: _____________________ Cell: _______________________________

HOME COURSE: ___________________________________________

GHIN#: _______________________________ BIRTH DATE: _____________________________

E-Mail ADDRESS: _________________________________________________________________

Which Pro Shop are winnings to be credited to: __________________________________________________

DATE: __________________ SIGNATURE: _______________________________________________________

All members must have current GHIN number

Note: To receive e-mails you will need to add arctech@comcast.net to your approved e-mail list.