Please give this application and a check for $50 to the EMPIRE RANCH SENIOR MEN'S GOLF CLUB TREASURER, mail it to the Empire Ranch Golf Course,1875 Fair Way, Carson City, NV 89701 or drop it off at the pro shop. Make your check payable to SENIOR MEN'S CLUB.
EMPIRE RANCH SENIOR MEN'S GOLF CLUB - 2019 MEMBERSHIP APPLICATION
NAME: ___________________________________________
DATE OF BIRTH: _______________________
ADDRESS: ________________________________________________________________________________
City ________________________ State ______________ ZIP Code _____________
E-MAIL ______________________________________
HOME PHONE (____)________________________
GHIN # _________________________ Were you a member of the Club in 2018? Yes ( ) No ( )
DATE RECEIVED: CHECK NO: DEPOSITED:
EMPIRE RANCH SENIOR MEN'S GOLF CLUB - 2019 MEMBERSHIP APPLICATION
NAME: ___________________________________________
DATE OF BIRTH: _______________________
ADDRESS: ________________________________________________________________________________
City ________________________ State ______________ ZIP Code _____________
E-MAIL ______________________________________
HOME PHONE (____)________________________
GHIN # _________________________ Were you a member of the Club in 2018? Yes ( ) No ( )
DATE RECEIVED: CHECK NO: DEPOSITED:
