2019 MEMBERSHIP APPLICATION

ZIA SENIOR MENíS GOLF CLUB

POST OFFICE BOX 874

FAIRACRES, NEW MEXICO 88033-0874

 

(Open to Male Residents of Sun Country Golf Association Born before January 1, 1970)

All members must have current GHIN number

 

 

PLEASE PRINT ALL INFORMATION CAREFULLY

 

FULL NAME: ___________________________________________________________________

 

NICKNAME: ____________________________________________________________________

 

TYPE MEMBERSHIP:  NEW $35 with E-MAIL address, without $40.00

 

 CONTINUING $35 with e-mail, without E-MAIL __________@ $40.00 

 

New and Continuing members with a friend willing to print the Zia Communications for him $ 35.00

 

MAILING ADDRESS:  __________________________________________________________________________

 

                                         __________________________________________________________________________

 

TELEPHONE: Home: _____________________    Cell: _______________________________

 

 HOME COURSE: ___________________________________________

 

 GHIN#: _______________________________   BIRTH DATE: _____________________________

 

 E-Mail ADDRESS: _________________________________________________________________

 

Which Pro Shop are winnings to be credited to: __________________________________________________ 

                                                                                                                                   

 

DATE: __________________   SIGNATURE: _______________________________________________________

 

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

 

For existing member - Name of Recruited New Member* credit given if new member sends in $35 plus application                  

 

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