Membership Application Form

Nominee

Nominee Name*

Nominated By*

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Endorsed By

for SCC Board use only

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Endorsed By Two

for SCC Board use only

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Endorsed By Three

for SCC Board use only

Membership categories

A. Regular Family 43 years and over.

B. Regular Individual 43 years and over.

C. Senior Family/Individual 70 years and over

D. Intermediate Family/Individual 30 to 42 years of age.

E. Junior Family/Individual 29 years of age or younger

F. Social with Golf Family/Individual 18 years and over.

G. Social 18 years and over.

H. Non-Resident

I. Corporate

An individual's age on March 31 determines the Membership classification for the following golf season.

Membership within the Stafford Women's Golf Association allows access to a locker and privileges to play in SWGA events. Interested in SWGA Membership?

Yes

Nominee Information

Nominee Date of Birth*

Home Address*

City*

State*

Zip Code*

Phone*

Email Address*

Nominee Occupation*

Employer*

Employer’s Address

Previous Club Membership(s)

List Number of Years & Committees Served On.

Area(s) of Interest

Golf

Social Activities

Pool

Junior Programs

Nominee Family Information

If applicable

Spouse’s/Significant Other’s Name

Spouse’s/Significant Other’s Date of Birth

Spouse’s/Significant Other’s Phone

Spouse’s/Significant Other’s Email Address

Name(s) of Children under age 25

Birth Date

Children of members living at home and not self-supporting may enjoy the privileges of the club as outlined by the Constitution and By-laws.

Permission to publish contact info in the SCC Membership Book:*

Applicant - YES

Applicant - NO

Spouse/Significant Other - YES

Spouse/Significant Other - NO

Nominee Promissory Note

Upon my election to membership, I promise to pay Stafford Country Club, Inc as follows: I understand that by signing this note, I be-come obligated for any dues, Club charges, fees, and assessments that have accrued prior to my resignation being accepted by the Board of Governors. I agree to fulfill this obligation under any and all circumstances. In the event that I default and Stafford Country Club brings legal action to enforce this note, Stafford Country Club shall be entitled to recover the amount due, all interest and any costs in connection with the action, including legal fees not to exceed 25% of the principal and interest for which the action was brought. By printing my name and submitting the application online I understand this to be my legally binding signature.

Nominee Signature / Date*

Stafford CC Officer Signature / Date

This field is for validation purposes and should be left unchanged.

Stafford, New York

Nominee

Nominee Information

Nominee Family Information

Nominee Promissory Note

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