River Ridge Senior Men’s Golf Club

Application for Membership or Membership Renewal 2017

New Members pay $80. Renewal Dues: $75 per year.

Check or money order for the correct amount must accompany this form. NO CASH, CREDIT OR DEBIT CARD WILL BE ACCEPTED. BIG CHANGE IN MEMBERSHIP EXPIRATION: NOW ALL MEMBERSHIPS PAID AFTER 3-1-17 WILL EXPIRE IN ONE YEAR, INSTEAD OF THE PREVIOUS 12-31 DATE.

Membership limited to age 55 and older.

Please print and enter all information requested.

Name ______Date of birth______

Address ______Phone ______

City & State ______Zip Code______Cell phone______

Old or current PLGA or SCGA Number ______Please check one

Other State Golf Association Number ______New ___ Renewal __

E-mail address______

The applicant agrees to share in Club duties when requested, and abide by the USGA Rules of Golf, the RRSRMGC Constitution, Bylaws, and Local Rules. The applicant agrees to practice proper golf etiquette, including repair of ball marks on the green, filling divots, playing at a reasonable pace, and also extending every courtesy to other members and golf course personnel.

Date______Signature______

Emergency Notification: Name ______Phone ______

Make check or money order payable to RRSRMGC and drop in the senior counter top drop slot at River Ridge, or mail to: Rich Guzik Membership Chairman, 5305 Woodbury St. Ventura, CA 93003