POQUOY BROOK GOLF ASSOCIATION
APPLICATION FOR 2010 MEMBERSHIP
RENEWALS/NEW MEMBERS
Membership Renewal Fee ___ $200 New Member Fee ___$200
Junior Member Fee (Under 30 years of age) ___ $125
Membership Benefits:
Membership fee for both returning association members and new members for 2010 will be $200 for the season. Membership fee must accompany application form. Mail in your application by January 31, 2010, and pay a discounted rate of $180 for the season. No refunds for membership after May 15, 2010.
Make checks or money orders payable to: Poquoy Brook Golf Association
Mail to: Fred Higgins
P.O. Box 253
East Bridgewater, MA 02333
Fill out the following information, detach and return with your check or money order:
Check one: _____ Renewal Membership ____ New Member
_____ Junior Membership (D.O.B._______)
Name: _____________________________________________________________
Address: ___________________________________________________________
City/Town: _______________________________ State: ________ Zip: ________
Telephone: ____________________ E-Mail: ______________________________
Existing U.S.G.A. GHIN # Yes ____ No ____ Number: ___________________