Click here to print registration form
JRCC Women’s Golf Association
2016 Registration
DUES:
Playing Members $50
Social Members $12.50
K Class Members $25
(JRCC WGA)
Print, and complete form, and mail to:
Joan Verhoef
309 Park Place
Newport News, VA 23601
309 Park Place
Newport News, VA 23601
NAME:
___________________________________________________
ADDRESS: _____________________________________________
HOME PHONE: ____________________________________________
CELL PHONE: _____________________________________________
WORK PHONE:
____________________________________________
EMAIL:
___________________________________________________
HUSBANDS FIRST NAME:
__________________________________
BIRTHDAY (Month and Day):
________________________________
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