Sacramento Realty Golf Club

Membership Application for 2010

Name:__________________________________________________

Address:________________________________________________

P.O. Box:________________________________________________

City:__________________________________Zip:______________

Telephone:______________________Fax:____________________

Birth Date:____________ (Required Including year)

Email Address:_____________________

Company Affiliation:______________________________________

Member of another club? ___ Club Name ___________________

If you have an NCGA GHIN number please provide:___________

Membership Dues 2010: $81.00

Make checks payable to: Sacramento Realty Golf Club (SRGC)

Mail Application with check to:

S.R.G.C.

c/o Tom Baker

5434 Southolm Ct.

Fair Oaks, CA 95628