Central Oregon Senior Women’s Golf Association Membership Renewal

Dues: Club Members: $125.00* Age 50 & Older —— Dues: Auxiliary Members: $150.00* Age 50 & Older

Name: (print legibly)________________________________________

Address: _______________________________________________

_____________________________________________________

City:_____________________

State:______ ZIP ___________

Phone:____________________

Home Club:____________________________GHIN#_________________
Email:______________________________________________________

Please make check payable to: COSWGA. Return to: Your Club Representative (*check with Rep for fee)

Paid applications must be received by November 1 of the season year.
Current members will be given preference, then names will be taken in order from our waiting list.

_________Check enclosed

Club Rep Signature ___________________________________ Date __________

Any questions? Contact your club’s
COSWGA Representative.

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