APPLICATION

NOTE:  

Printing directly from this page may cause print errors.  Please scroll to the bottom of this page, then Click the pdf file and print from it.   You can also do a copy of this page, then paste to your word document program (MSWord, etc) and print from it.   


 


CENTRAL NEBR SENIOR GOLF ASSOCIATION

 

MEMBERSHIP APPLICATION & RENEWAl  FORM  

(please print clearly, your dealing with a SENIOR, mail lables & typed email address' are appreciated)

 

PRINT NAME:____________________________________________________________

 

ADDRESS________________________________________________________________

CITY________________________________ STATE___________ ZIP________________

 

BEST PHONE #:   ________________________________________

 

E-MAIL ADDRESS: _________________________________________

 

GHIN CARD NO.__________________________      18 HOLE HDCP (or best estimate) _________


DATE OF BIRTH___________________SIGNATURE___________________________________

You must be 50 or older sometime during the current year.  Birthdates are for CNSGA use only and not published.

 

DUES: $25.00 --- include check payable to  CNSGA or “Central Nebraska Senior Golf Assn”

Return to:        CNSGA,  PO Box 321, Kearney, NE  68848-0321

308-325-2035              e-mail:  lakewayinc@verizon.net

                                    Applications are also on the web site:  www.cnsga.com

 


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 Please make a copy and give an extra application to a friend.

 

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FINANCIAL REPORT:

A full annual financial report will be included with the tournament book mailing (mid-March).  CNSGA is on solid financial grounds, and we plan to maintain a comfortable reserve as a sound business practice.  Members are encouraged to contribute to the SCHOLARSHIP FUND.   All funds received as voluntary donations are designated for this fund only.  Donations may be included in the same check as your membership dues, but we do keep an accounting of the voluntary donations.

 

 

DONATION

 

Enclosed is my donation to the Central Nebraska Senior Golf Association (CNSGA) scholarship program.

 

Amount:          $_______________________________

 

From:               ________________________________

Subpages (1): DIRECTOR CONTACTS
Ċ
ANDY ANDERSON,
Jan 5, 2017, 9:34 AM
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