N.E.F.S.G.A.

NORTH EAST FLORIDA SENIOR GOLF ASSOCIATION

APPLICATION FOR MEMBERSHIP

Last Name...............................................First........................................

Address........................................................................................................

City.....................................State........Zip..(9digit).........................

Age.........Date of Birth........../......../........Phone......................................

Handicap.Index...........(also enclose copy of your USGA handicap-index card if available)

e-mail address:................................................................................................

Make CHECK to" N.E.F.S.G.A "

OUR YEAR IS July I THRU JUNE 30

NEW MEMBERSHIP FEE: July 1, 2010 - June 30, 2011=$50.00.

THIS COVERS: INITIATION FEE $13.00

ANNUAL DUES  $35.00

                              HOLE IN ONE     $ 2.00 (Mandatory)

THOSE JOINING AFTER JANUARY 1, 2011 through June 30, 2011 = $32.50 (Inclusive)

THE $29.50 IS STILL IN EFF FOR MAY THROUGH JUNE 2010 ONLY.

NEW FEES APPROVED 4/19/10 AND EFF FROM JULY 1, 2010

When this application is completely filled out by applicant, signed by the Club Representative, or active club member .

MAIL BOTH CHECK AND APPLICATION TO:

DICK MORRISON (Membership Chairman)

3904 Timucua Trail

Jacksonville, FL 32277

Upon acceptance you will receive mailings of our immediate events, including entry forms.  Your club Membership Chairman and Club Reps will be please to answer any questions.

APPLICANTS SIGNATURE..............................................................................

HOME CLUB............................................................DATE..............................

APPROVED BY

Club Rep. or Active Member............................................................................

                    Those with computer internet access check our web site.

                            http://www.nefsga.com