Membership Application

Send Application

$40 Dues

TO

Dick Atkins

2921 Thomes Ave.

Cheyenne, Wy 82001

dickatkins@bresnan.net

Send Application

$40 Dues

TO

Dick Atkins

2921 Thomes Ave.

Cheyenne, Wy 82001

dickatkins@bresnan.net

WYOMING SENIOR GOLFERS’ ASSOCIATION


Update Application for Membership


2019


          Dues $40.00      

            
 I hereby apply for membership in the Wyoming Senior Golfers’ Association and agree to

 abide and be bound by the constitution, by-laws, and rules of the Association.

 (Must be at least 50 years old...a Wyoming Resident...have a valid GHIN #.)    GHIN#  _____________________ ST ______


 Full Name _____________________________________________________ Wife's First Name _______________________


 Date of Birth - Month ______________________  Day _______  Year _______________


 Home Street Address  _________________________________ City ____________________  Zip __________


 Residence Phone _________________ Cell Phone _________________


 e-mail address ______________________________________________________@_______________________________


Winter Mailing Address (Jan-Apr)


  Winter

 Street Address ________________________________________ City _____________________ Zip _______________


 Signature of Applicant ____________________________________________________________________________


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WYOMING SENIOR GOLFERS' ASSOCIATION

New Member Application for Membership

2019

DUES 40.00


  I hereby apply for membership in the Wyoming Senior Golfers’ Association and agree to abide

  and be bound by the constitution, by-laws, and rules of the Association.
 (Must be at least 50 years old...a Wyoming Resident...have a valid GHIN #.)    GHIN#  _____________________ ST ______


 Full Name _____________________________________________________ Wife's First Name _______________________

 Date of Birth - Month ______________________  Day _______  Year _______________

 Home Street Address  _________________________________ City ____________________  Zip __________

 Residence Phone _________________ Cell Phone _________________

 e-mail address ______________________________________________________@_______________________________


  Signature of Applicant _______________________________________________________________________________