MEMBERSHIP APPLICATION

LAS POSITAS SENIOR GOLF CLUB

NAME

DATE

ADDRESS

ZIP

PHONE

EMAIL

SPONSOR (must be sponsored by LPSGC member)
Do you belong to another NCGA Club?	YES	NO
If YES – Your NCGA Member No.

NOTE:	Club By-Laws require all members to be 55 years or older. New members are subject to approval by the Board of Directors.
DUES:	First Year Dues - $80. Yearly Dues thereafter - $70 Dues Period – December 1 through November 30. Make checks payable to: LAS POSITAS SENIOR GOLF CLUB Send to: Bob Mole 63 Lupin Place Alamo, CA 94507 Phone: 925-820-4941 Fax: 925-855-1769 Or: Drop in the Senior Box at Las Positas Golf Course

Revised 3 December 2009