Whispering Pines Membership App

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New Membership Application/Renewal

Complete this form and return it (see below)
along with your 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:
Paul Stofferahn - 19449 Crystal Ridge Lane - Northridge, Ca 91326 - 818.368.6451