PLEASE BE SURE TO READ BEFORE SIGNING

Membership Application

You are cordially invited to join the SHORELINE SENIORS GOLF CLUB, a group of golf enthusiasts who will reach or exceeded their 55th birthday during the coming year.

In applying for membership, you agree to; (1) Comply with the By-Laws, Rules and Procedures of this club; (2) Honor 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. If application is from a person residing outside Mountain View, it may be subject to delay in acceptance if the membership is filled. There is no quota for residents of Mountain View if otherwise qualified.

2012 DUES and FEES

SHORELINE SENIORS N.C.G.A

DUES INITIATION DUES INITIATION TOTAL

$40.00 $10.00 $36.00 $10.00 $96.00

The total amount is to be paid BY CHECK with the application. Make all checks payable to: SHORELINE SENIORS GOLF CLUB. Mail check with the lower portion of this application to:-

Ted Roshinski

2460 Golf Links Circle

Santa Clara , CA 95050-7013

The golfing year is from January 1st to December 31st. There are no prorated dues for applicants joining from January 1st to October 1st. Any applicants after October 1st will be paying dues for the next year and will be able to participate the remainder of the current year without further dues and only payment of the course fees. Guarantee.....If you join after October 1st and find that our club is not what you want, a letter to our membership committee dated prior to December 1st will bring a full refund. No other refunds are allowed.

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For Club Records, please print the following information:

NAME__________________________________________HOME PHONE #____________________

^{as
it will appear on N.C.G.A. Roster}

STREET________________________________________BIRTH DATE______________

CITY___________________________________STATE______ZIP CODE__________________

CURRENT GHIN #___________________CURRENT INDEX_______________________

E-MAIL_____________________________________________________

May your e-mail address be published in the Membership Directory Yes____ No_____

I would be willing to serve on committees Yes____ No____

I would be willing to serve on the Board of Directors Yes____ No____

I certify the above information is correct:

SIGNED____________________________________________DATE___________________