Chalk Mountain  GC
 

Instructions:
Please use the File tab/print option to preview and print this application.

Applications after October 1 are good for the entire next year.

2019 New Member Application

Atascadero Golf Club membership is valid through the end of December each year. Membership includes membership in the NCGA and a USGA handicap

Name___________________________________ Date_________ 

Address_______________________________________________

City___________________________ State_____ Zip_________

Phone#____________     Cell Phone# ____________________

E-mail: _________________________________________________

May we use this information in a roster?   Yes: ____ No: ___

Do you have an existing (or within last 2 years) handicap? Yes____No____

If yes, please provide:   GHIN#_________________

Date of Birth: __________________________


Fees:
New Membership - First Time $85 $_________
Individual Membership Renewal $75 $_________
Late Fee for renewals after January 10th $10 $_________
Total Amount Paid $_________

If you have any questions, you may contact the Pro Shop at (805) 466-8848

Please make your check payable to Atascadero Golf Club and mail to:

    Atascadero Golf CLub    P.O. Box 1087     Atascadero, CA 93423

(Or Turn in to the Pro Shop at Chalk Mountain)

Revised June 2016