Southern Maine Women's Golf Association
****For use with new members and ALL members after June 15th until August 15th****
Print and Mail this form.

DATE:_______________________

CLUB REPRESENTATIVE:____________________________________________________

MEMBER CLUB:____________________________________________________________

NEW MEMBER'S NAME______________________________________________________

ADDRESS:________________________________________________________________

CITY:_____________________________STATE:__________ZIP CODE_______________

PHONE:___________________________EMAIL:__________________________________

WINTER ADDRESS:_________________________________________________________

_________________________________________________________________________

LATEST HANDICAP INDEX:___________ GHIN:___________________________________

PLEASE INCLUDE A $25.00 CHECK FOR THE MEMBERSHIP FEE PLUS A SEPARATE CHECK
FOR $2.00 FOR POSTAGE, IF YOU HAVE NOT YET RECEIVED THE SMWGA YEARBOOK AND
ENTRY CARDS FROM YOUR CLUB REPRESENTATIVE

MAIL TO:
SMWGA
128 WARREN AVE.
PORTLAND, ME 04103