RENEWAL OF ANNUAL FEE MEMBERSHIP 2008
Please print and complete this form to renew your annual fee membership. For your convenience, you may renew your membership by mailing this
application and payment (check or credit card) to Fort Meade Golf Courses P.O. Box 557, Ft. Meade, MD 20755, Attn: Membership Clerk.
Your renewal will take effect upon receipt of payment and verification of proper I.D.
Name (Last, First, M.I.)   

Grade

Member #

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 and Date of Birth            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)