RENEWAL DUES FOR FISCAL 2007 ARE DUE OCTOBER 1, 2006

(Please read the entire form before signing and returning)

NCGA has increased the club dues per member by $5 for the Year2007. Club Membership Fees will now be $70.00 ($45.00 for Social Member) when paid prior to November 15, 2006. After November 15^th, the dues go up $10.00 to $80.00 ($55.00 for Social Member). Deadline for Year 2007 Renewal is December 15, 2006. Make checks payable to Shoreline Seniors Golf Club and mail with lower portion of this application to:

Bruce Fujikawa, 21572 Columbus Ave, Cupertino, CA 95014-4781

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Name_________________________________________Home Phone#____________________

Street_______________________________City____________________Zip_______________

Birthdate__________________NCGA#________________Home Club____________________

Email address____________________________________website________________________

Check one category (applying for): _____Regular Membership _____Social Membership

In applying for renewal, you agree to; (1) comply with the By-Laws, Rules and Procedures of this Club; (2) abide by 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.

Signature________________________________________________Date___________________