2007 LAGA MEMBERSHIP APPLICATION

RENEWAL ____ NEW MEMBER _____ (CHECK ONE)

MEMBERSHIP FEE: $40.00 THRU Jan. 31, 2007

$45.00 AFTER 1-31-2007

NAME___________________________________________PHONE #____________________

ADD: ____________________________________CITY______________ST:_____ZIP______

E-MAIL ADDRESS: _____________________________(needed if you want your new handicap e-mailed to you by GHIN thru Sun Country Amateur Golf Association each time it is revised)

NEW MEMBER INFO: PREVIOUS GHIN #______________Previous Club/Assoc. ___________

(You will keep same GHIN# if you were actively using it during the last two years, otherwise you will be assigned a new #)

In an attempt to save money on the delivery of our newsletter “The Duffer”, we offer four ways for you to receive it.

CHECK ONE: E-MAIL ___ PICK UP @ Los Altos _____ LAGA WEB PAGE______ MAIL______

I agree that I will play by the rules of golf and will post my scores as required by the U.S.G.A.

SIGNATURE: ________________________________________ DATE: ___________________

MAKE CHECK PAYABLE TO LOS ALTOS GOLF ASSOCIATION. ATTACH CHECK OR CASH TO THIS FORM AND DEPOSIT IN LOCKED BOX IN LAGA OFFICE BY THE COMPUTER OR MAIL TO: L.A.G.A, PAUL HOMAN, 12324 Lexington Ave. NE, ALBUQ., NM 87112-2056.

OFFICIAL USE ONLY

DATE ____________CH#___________ CASH: _________ Date Entered:____________New Ghin #________________By:_____________