HOME TOURNAMENT SCHEDULE PHOTO GALLERY CHUCKLES CLUB APPLICATION

Membership Application for 2012

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Membership includes a one-time membership fee, one year annual dues, NCGA Membership, NCGA Card, and NCGA Quarterly Magazine. NCGA membership also entitles you to discounted Green Fee's at certain courses.

New Member Application Fee: $80.00    Renewal: $70.00
(Renewals after December 20, 2011, will be $80.00)
Make checks payable to: Indian Creek Men's Golf Club.
 
Please print this Application, complete the required information, and return with payment to: Indian Creek Golf Club Pro Shop, or mail to: Indian Creek Golf Club, 4487 Barton Road, Loomis, CA, 95650. Attn. Men's Club.
  I, __________________________ hereby apply for membership in the Indian Creek Men's Golf Club.
          (Please Print Clearly)
 
  Mailing Address: ____________________________________________________________________
                                        (Number and Street or PO Box)                             (City)                                           (Zip Code)
 
  Business Address: ___________________________________________________________________
                                        (Number and Street or PO Box)                             (City)                                           (Zip Code)
 
  Phone Number:      _________________ (Home)                ____________________ (Business)
 
  E-mail Address: ______________________________
 
  Any other Golf Organizations/Golf Clubs currently or formerly affiliated with:
 
  Name: ________________________________________________ Year: _______ Handicap: ____
 
  Name: ________________________________________________ Year: _______ Handicap: ____
 
  Current or Former NCGA card number: _________________________
 
  Applicant's Signature: __________________________________    Date: _______________
 

Thank You For Your Interest In The Men's Golf Club.