Ridgefield Senior Men's Golf
2012 Member Application
Regular Member ($30) Alternate ($15)
Name:_______________________________
Address:___________________________________Town________________
State:_________Zip____________ Phone:_(_____)________________________
Check here if this is a new address and/or phone number________
EMAIL ADDRESS
______________________@___________________________
Are you a current member renewing?________A new applicant?________
New applicants, please enter your GHIN #______________________________
Remit To : RSMG c/o Todd Kolb, 9 Lookout Point, Ridgefield, CT 06877
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