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2012 Membership / Renewal Application

*First Name
*Last Name
*Gender	Female Male
*Address
*City
*State
*Zip Code
Phone #
*Email
Seniors 55+ and Juniors under 18 – please list date of birth below:
Date of Birth
If you are a renewing member or a member of another club indicate club name and GHIN# below:
GHIN Number (If Existing)
Club Name (If Existing)

*By Laws and Constitution Check	I agree to follow the Metropolitan Golf Club Constitution and Bylaws

Membership Fee

Renewing Member   [Add $95.00]
New Member   [Add $95.00]
Junior Member (under 18)   [Add $18.00]

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