Handicap Service Only -- Dues are $35 per year

Name _______________________________

Address ___________________________________________

Phone_____________________

Email ____________________@_________________New? Y N

If you have a current GHIN number please print it here__________________

Print, complete, and mail this application along with a check made out to RGC to:

RGC
PO Box 24
Ridgefield, CT 06877

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