APPLICATION - NIKKEI SENIOR GOLFERS MEMBERSHIP FORM

Single Golfer
The Nikkei Senior Golfers is an organization dedicated to promoting friendship and sportsmanship between couples sharing a common interest in golf. To be a successful club, all members willingly accept tasks when asked by officers such as chairing tournaments on occasions and serving on committees and the Board as examples. Membership qualifications are as follows: 1. Applicants must be 55 years or older. 2. Applicants must be sponsored by a Nikkei Senior Golfer member. 3. Applicants must have an official SCGA, WSCGA, IDC or equivalent index not exceeding 28 for men and 36 for women. 4. Applicants play one round with a Board member and a second round with a club member. Board member and club member cannot be the sponsor of the applicant. 5. Annual membership assessment of $50* is due on November 1. *May 2010 Name:_______________________________________________________ Address:______________________________ _________________ _________________ (Street Address) (City) (State & Zip) Home Phone:____________________ Cell Phone:____________________ E-Mail Address:______________________________ Present Golf Index & SCGA GHIN/WSCGA/IDE #:__________________________ Signature:_________________________________ Date:________________ Sponsoring Member:____________________________ --------------------------------------------------------------------------------

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