CFB Winnipeg Golf Club 17 Wing Suite 152 P.O. Box 17000 Stn Forces Winnipeg, MB R3J 3Y5 Email: [email protected] Phone: 832-8436 CFB GOLF CLUB MEMBERSHIP APPLICATION 2015 SEASON www.17wingwpggolf.ca Please Print or Type Surname Given Name Service Number (Serving Members) Date of Birth 2014 Membership Number Phone # Address (in full) & Postal Code Vehicle Licence Email I agree to receive CFB Golf Club emails (You can withdraw your consent at any time.) Membership Type: Regular ($330 / Season) (Must be member of DND, Reserve Force, Former Military, or Charter Member) Ordinary Membership ($350 / Season) (Serving RCMP or DND Civilian, Retired RCMP / DND Civilian) Associate Membership ($375 / Season) (Non-DND Civilian - Requires nomination by CFB Winnipeg Golf Club member in good Standing, and executive approval) Family Memberships Spouse (Surname) $180 / Season Given Name(s) Date of Birth 2014 Membership # Children (Surname) Given Name(s) Date of Birth Vehicle Lic. under 18 years $100 / Season For Golf Club Use only Sponsoring Member (& number) Amex MC VISA Interact Cheque Cash
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