APPLICATION FOR ANNUAL FEE MEMBERSHIP 2008
Welcome                   Welcome               Welcome                Welcome                 Welcome               Welcome              Welcome    
Please complete this form thoroughly and turn it in at the proshop
ID will be required when you pick up your membership materials.
Name (Last, First, M.I.)   

 

 Grade

 

 SSN

AGF#

Branch (circle one)
Army              USAF              NAVY              USMC

USCG             DOD              Contractor 
 

 Status (check one)
(        )Active
(        )Retired
 (       )Reserve		 Organization
 
 

Home Address

Phone (h)____________

          (w)___________
Golfing Dependent on Membership            1st_______________________      Add______________________

Annual Fees 

Rank                                             Sponsor                    1st Fam Mbr             Add Fam Mbr
E1-E4                                            $330.00                         $165.00                       $82.00
E5-E6/GS1-3                                 $420.00                         $210.00                       $105.00
E7-O3/WO3/GS4-6                      $640.00                          $320.00                      $160.00 
O4 & up, WO4-W05,GS7-GS9    $900.00                          $450.00                      $225.00
GS10 & Up                                   $1100.00                         $550.00                     $275.00
Veterans                                         $1200.00                        N/A                            N/A
Distinguished Civilian                       $1300.00                        N/A                            N/A

                                       

Club Storage :    $60.00#____      Locker Rental: Mens $40.00#____       Handicap $25..00_____
Elec. Pullcart Storage $40.00#______                  Ladies $30.00#______            for ___________
(exclude battery)                                                                         H dep only # ________________
** Circle all applicable items - if more than one, indicate quantity

 
Method of Payment: Check payment method on the left and write the total amount.
                                      For credit payment, complete ** items also, if mailing in only.
____Visa
____ Master Card        **Full name of card holder ________________________________
____American Express
____Discover               **Card # _________________________**Exp. Date________
____Esprit
____Check                  **Signature ______________________________________
____Cash 
                                     Total Amount $_______________________________
Date Received/clerk (official use only)

 

 Data Entry Date /Clerk (official use only)