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      New Membership Application/Renewal    
Complete this form and return it to the Handicap Chairman of WPGC
along with your SCGA and WPGC membership fees.
Do you have an existing Club Membership/GHIN number? (circle one):       YES       NO

If Yes: GHIN # __________ Club/Association Name: ______________________________________
MEMBERSHIP INFORMATION:            

Name: ______________________________________         Male _____ Female _____

Address: ______________________________________________________________

City: ____________________________ State:________ Zip: ____________

Home Phone: _________________________ Cell Phone: _________________________

Date of Birth (MM/DD/YY):_______________ Email: __________________________________
This authorizes the Southern California Golf Association to issue a SCGA membership
and to bill this club for annual dues. $1.00 of this amount is for an annual subscription
to FORE Magazine and is authorized by the signature below.
Date ____________________________         Applicant's Signature _______________________________________
Return this application with a check for $50, payable to Whispering Pines GC, to:
Howard Meadows
28413 Seco Canyon Rd. Unit 128
Santa Clarita, CA 91390
661.297.7191

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