Application for new/renewal membership with the Carmichael Golf Club (CGC)

Name: ________________________________________

Address: _______________________________________

City/Zip: _______________________________________

Home #: _______________________________________

Work #: _______________________________________

Email: _______________________________________

(if email provided, can it be used

for newsletters/attachments? Yes _______ No _______

How you heard about the CGC?: ____________________

(list member name, website, etc.)

If you have been an NCGA member within the last 2 years, please complete the following:

Club Name and Club Number: ______________________

Your GHIN Number: _____________________________

Enclosed is my $ 70 new member/$60 renewal application check for the Carmichael Golf Club for calendar year 2009.

Please forward this completed new member application form and your check to the Carmichael Golf Club, c/o Alan Rankin, Post Office Box 215295, Sacramento, California 95821.