LWGA Membership RENEWAL for 2011

Submit between September 1 and September 30, 2010.

Eligibility:

• Reside in Beaufort County at least six months of each year (cumulative)

• Permanent Beaufort County address and operative telephone number

• Member in good standing of a Beaufort County Golf Club

• Current USGA handicap from the state of South Carolina provided by a Beaufort County GC

Name: Last___________________ First______________________

Address: _______________________________________________

City: _______________________________Zip: ________________

Phone: _________________________________________________

Cell Phone: _____________________________________________

Club Affiliations: _______________________________________

E-mail: _________________________________________________

Please print carefully.

Current USGA Index: ____________________

Computed at: ___________________________

(Name of Beaufort County Home Course)

I declare that the information provided above is a true statement

and that all eligibility requirements, as stated above, are satisfied.

Signed: ___________________________Date: ________________

Mail Annual Dues of $35.00, payable to LWGA, with this application, by September 30, 2010 to:
Connie Muscarella,
LWGA Membership Chairman 31 Manchester Court, Bluffton, South Carolina, 29910