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The Wheeler Park Men’s Club
At
D. Fairchild Wheeler Golf Course
APPLICATION FOR NEW MEMBERSHIP
(Please print all fields below)
Applicant’s Name: _______________________________
Applicant’s Address: _______________________________
Applicant’s City, State, Zip Code: _______________________
Applicant’s Phone: _________________________________
Applicant’s Date of Birth: ____________________________
Applicant’s E-mail Address: __________________________
Date of Application Submittal: ________________________
Sponsor’s Name: __________________________________
Sponsor’s Written Signature: __________________________
If you are transferring from another club, please provide:
Golf Club Name: ___________________________
Club #: ___________
GHIN #: __________
Checks Payable to Wheeler Park Men’s Club
$125 Submit application & check into
locker # 158
Below is for Men’s Club Use Only
BOARD OF GOVERNORS APPROVAL
The Wheeler Park Men’s Club
At
D. Fairchild Wheeler Golf Course
APPLICATION FOR NEW MEMBERSHIP
(Please print all fields below)
Applicant’s Name: _______________________________
Applicant’s Address: _______________________________
Applicant’s City, State, Zip Code: _______________________
Applicant’s Phone: _________________________________
Applicant’s Date of Birth: ____________________________
Applicant’s E-mail Address: __________________________
Date of Application Submittal: ________________________
Sponsor’s Name: __________________________________
Sponsor’s Written Signature: __________________________
If you are transferring from another club, please provide:
Golf Club Name: ___________________________
Club #: ___________
GHIN #: __________
Checks Payable to Wheeler Park Men’s Club
$125 Submit application & check into
locker # 158
Below is for Men’s Club Use Only
BOARD OF GOVERNORS APPROVAL