2015 Membership Application

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
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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