Name (last)_______      ________________(first)____________  ____________________

Home Address ____________________________________________________________________

City______________  ____ ____State___________________Zip ________________________

Telephone (home) __________________________(work)________________________________

Email address______________________ Current member___ or New member___ Check one)
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Would like to receive all Men’s Club correspondence exclusively via emails and the
web,this includes newsletters, tournament results, and entry forms for tournaments
and banquets.   Yes___
Interested in an advertisement in the membership book?  Yes___    If yes, you will
be contacted.
Interested in Eisenhower/Evans Bag Tag?  If yes, please add $10 to your dues check.
Annual Dues are $130 – Please make checks payable to:    Wellshire Men's Golf Club
Mail checks to:   Kelly Purser   750 Tabor St. #58   Golden, CO   80401
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For New Members Only :
Do you have an official USGA Handicap through GHIN?     Yes___     No___
If yes, what was your GHIN #_____________Club #_________Club Name______________
If no, please provide your last 5 scores with course rating & slope on the reverse
side.
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