New Hampshire Senior Golfer’s Association

                                    P.O. Box 9  è  Sanbornton, NH  03269-0009

 

 

 

 

                                                            (Please print)

 

                                                                             Primary Mailing Address:

Name:
Address:
City, State, & Zip

 

 

                                                                     Winter Mailing Address (if applicable)

Name:
Address:
City, State, & Zip
Arrival Date:                                                        Departure Date:

 

 

 

                                                                            (Please print)
 

DOB: (xx/xx/xx)  ________________________________     Age as of April 1, 2010:_____________

Home course or club:_______________________________________________________________

GHIN # :___________________________________________  (or other handicap system information)

Home phone:_________________________ Work or Cell Phone:  _____________________________

E-mail address: ____________________________________________________________________


 

                                     ~~~~~~~~~~~~~~

£     Please send only my membership card.  I am willing to use the web site,
             www.nhsga.org, to get event information and to register for tournaments.


£       I wish to receive the printed course sign-up booklet with return envelopes.

                                         Dues for 2010 ……… $60.00         
 

£         I have included $_____________ for the McDonough Scholarship Foundation.

 

   Those who include a donation of $10 or more for McDonough Scholarship
 Foundation  will have their name included in random drawing for one dozen
     Titleist  Pro V1 Golf Balls.  The drawing will be held on March 20, 2010.