GHIN number if you have one

GHIN number :: GHIN number if you have one

 

Additional address

Additional address :: More space if needed

 

Affiliated clubs

Affiliated clubs :: Other clubs belonging to

 

Junior ?

junior

Junior ? :: Check if 18 or under

 

Birthdate if Junior selected

Birthdate if Junior selected :: Required if a Junior

 

Complete this form and click on submit. Fill out a check for $150 made payable to: “Eagle Glen Players Club”

Mail it to:

EGPC C/o Dan Fleming

713 Langer Dr

Placentia, CA 92870

If you have questions about membership or tournaments please contact: Dan Fleming (Membership Chairman)

Membership will not be activated until payment is received.

The Eagle Glen Players Club reserves the right to refuse membership to any applicant.