APPLICATION FOR MEMBERSHIP
  PLUMBING AND HEATING CLUB
  OF NORTHERN CALIFORNIA



I, ____________________________________________________________hereby
       (Your Full Name)
make application to become a member of the Plumbing and Heating Club of Northern California. I will attend all tournaments and meetings possible and will co-operate to the best interests of the Club.

Signed________________________________Company_________________________

Mailing Address________________________________City___________________Zip_______

Business Phone_________________Fax #______________Home Phone____________

E-Mail _________________________________________________________________

NCGA Member ________$90.00  NOT an NCGA Member_______$100.00

Club Name___________________NCGA GHIN #______________________________
If you ARE NOT an NCGA member and do have five score cards from courses you have recently played – date, note tees played, have attested signature and mail with application.

RECOMMENDED BY___________________________________Date_____________


        MAKE CHECKS PAYABLE TO:          Plumbing and Heating Club

Mail check and application to:

Plumbing and Heating Club
960 Blossom Dr.
Santa Clara, CA 95050



NEED INFORMATION??  HAVE QUESTIONS???  CALL Tim Kincaide 415-971-1531