ROSSMOOR WOMEN’S 18-HOLE GOLF CLUB
   NEW MEMBER APPLICATION
Name____________________________________________ DATE______________________
ADDRESS________________________________________ MANOR______ENTRY #______
PHONE_____________________________ CELL #__________________________________
E-MAIL ADDRESS_____________________________________________________________
DO YOU HAVE A GHIN#____ IF YES, LIST #____________________________
Name of Previous (or Present) Golf Club________________________________________________ 
Please list Positions held ________________________________________________________
Willing to volunteer for __________________________________________________________
Please list unique talents and/or skills you are willing to share___________________________
DUES & FEES (January through December)
•	Annual Dues			         $35.00
•	WGANC fee (computer handicap posting) $30.00
•	TOTAL  			         $65.00
•	Hole-in-One Insurance (optional) $6.00
•	TOTAL WITH INSURANCE  		         $71.00
Joining after July 1st pay half annual dues.  Other charges remain the same.  
Submit your check, payable to Rossmoor Women’s 18-Hole Golf Club, together with
completed application (and if necessary, include the 5 attested score cards) and place in the Membership Chair’s folder in the 18er’s file drawer located in the Pro Shop.  Or mail to Rossmoor Women’s 18-Hole Golf Club, Attention: Membership Chair, 1010 Stanley Dollar Drive, Walnut Creek, CA 94595.  Upon receipt of application, the Membership Chair will contact you to schedule a welcome/orientation meeting.
FOR CLUB USE ONLY: Date processed__________ Amt. Rec’d:_______Check Number: ___________                                    											Rev.10/1/15