SHORELINE SENIORS GOLF CLUB
RENEWAL FORM FOR FISCAL 2010
(Please read
the entire form before signing and returning)
Club Membership dues for Year 2010 are $76.00 ($40 Club, $36 NCGA) for Regular Member and $45.00
for Social Member. Dues are delinquent after November 30, 2009. After November 30th, the dues go up $10.00 to
$86.00 for Regular Member and $55.00 for Social Member. Deadline for Year 2010 Renewal is December 15, 2009. Make checks payable to Shoreline Seniors Golf Club
and mail with lower portion of this application to:
Ted Roshinski, 2460 Golf links Circle, Santa
Clara, CA 95050-7013
------------------------------------------------Cut
here------------------------------------------------------------
Name
____________________________________ Home Phone ____________
Street
_______________________________City______________________ ZIP_________
Birth Date ______________NCGA#
______________ Home Club____________________
Email
Address___________________________________________________
May your Email Address be published in
the Membership Directory and/or
Shoreline Seniors Website ? Check One _____YES _____NO
Check one category (applying for): _____Regular Member _____Social Member
In applying for renewal, you agree to;
(1) comply with the By-Laws, Rules and Procedures of this Club; (2) abide by
all agreements that have been entered into by said Club and all agreements that
the Board of Directors of this Club enter into subsequent to the date of
application and (3) serve as a greeter at least once a year, as of the date of
application.
Signature_________________________________________Date_________________