SAN MATEO COUNTY GOLF CLUB
Associate member of the Northern California Golf Association

		2012 MEMBERSHIP APPLICATION
	(Membership term is from 1-2012 through 12-2012)

NAME____________________________________ Home Phone _____________

Check here if your information is the same as last year __

ADDRESS_________________________________ Work Phone _____________

CITY__________________________________________ZIP________________ 	

Email address________________________________ PONY_______________

Birth Date _________________________________ 


Flights: Members in handicap will play in flights based upon their NCGA handicaps.
Please indicate which flight you wish to play in and remember that you must remain
in your chosen flight for the entire year. All flights use 100% of course handicap.
		
Play in the Championship Flight optional tees (money/green fees credit prizes)____
Play in the Handicap Flight from white tees men/red women (ball prizes)____

DEADLINE FOR PAYMENT IS DECEMBER 15, 2011
IMPORTANT: A NCGA reinstatement fee of $10.00 must be paid by non-junior members
who submit their dues and application after the deadline. Also a $5.00 late fee
will be imposed by SMCGC

Membership Type   SMCGC Dues    NCGA Fees    Total      Your Total
Regular              $40.00        $30.00     $70.00      _________

Junior (under 18)    $10.00        $ 6.00     $16.00      _________

   New NCGA Member (junior exempt) $10.00     $10.00      _________
   Initiation Fee/Reinstatement

   Please make your check payable to SMCGC -   Total due  __________

There is no initiation fee charged if you are transferring your NCGA membership to
SMCGC from another golf club.

If you are a new SMCGC member and are transferring your NCGA membership from
another club, please complete the following: 

Your NCGA Membership number  __________________________________
 
Your NCGA Golf Club ___________________________________________
 


SEND THIS APPLICATION TO:       Dick Flanagan	
                                706 Santa Cruz Lane
                                Foster City, CA 94404-3792