Please check the appropriate box
Renewal
New Member
Opt out of listing contact information in the roster
Jefferson Park Women’s Golf Club
New Membership and Renewal Application
Season Runs April 1 – October 31. Play Tuesday, Saturday or both days
Name
Date
Address
City
Zip
E-mail Address
Home Phone
Cell Phone
Work Phone
GHIN #
Please indicate
which league, or
both leagues.
Tuesday league
Saturday league
Play both Tuesday and
Saturdays for a reduced fee
League Fees Tuesday or Saturday
(includes GHIN)
Renewal
$70.00
$75.00
New
Member
$75.00
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Play in the Tuesday and Saturday Leagues
for $112.00, after March 15, $117.00
Junior golfers
$25 includes
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Handbooks and rosters are
available electronically.
Associated
Members
Social Members
$51 includes
Prior to March 15
After March 15
GHIN
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GHIN
$24
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Make Checks Payable to JPWGC
Mail check and application form to:
JPWGC
PO Box 58648
Seattle, WA 98138
Please forward this form to any woman you know that might be
interested in joining our league. Questions about the league, please
contact Helen Landicho at hlandicho@gmail.com or 425.260.0201.
Effective February 2015