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12/13/2023
A Non-Profit Organization For Retired Men Devoted to the Promotion of Independence and Dignity of Retirement
SIR GOLF CLUB AREA 10
NEW MEMBER APPLICATION
Date _____________
SIR BRANCH:
[_] 20 Santa Cruz [_] 36 Twin Valley [_] 85 Pajaro Valley [_] 104 Aptos [_] 28 Monterey
Last Name________________________ First Name __________________ Birthdate___________
Street Address____________________________________ City____________________________
Zip ________ Phone (_____) _____-________ E-Mail _________________________________
DUES: NCGA: $46.00 SIR Golf Club: $14.00 ANNUAL TOTAL: $60.00
NCGA MEMBER NUMBER: |___|___|___|___|___|___|___|___|___|
____________________________________
By signing this application I agree to the following conditions of membership:
I will maintain active membership in a “Sons In Retirement” branch.
Membership in NCGA and SIR Golf Club must be renewed every year.
APPLICANT SIGNATURE ____________________________________________
SIR BRANCH GOLF CHAIRMAN _______________________________________
Mail application and check for the total amount due and payable to SIR GC:
Don Schmitz, 42 Loma Ave., La Selva Beach, CA 95076