2022 Membership Application

LAFORTUNE/SOUTH LAKES NINE HOLE WOMEN'S GOLF LEAGUE

NEW MEMBERS FORM

(or fill out if you have contact info changes)

Questions regarding Membership? Contact Sallie Lowery at 918-855-1603 or email (slowery50@yahoo.com)

Problems with this form? Contact Kathleen Beisly at 918-809-4469 or email kbeisly@icloud.com.

If you are a current member and do not need to submit any changes for the directory you may simply pay your membership dues and do not need to complete this form.

See below for instructions to send your payment.

Member Status (choose one)

New Member Existing Member with Contact Information Changes Non-playing / non-paying member - please retain on email list

Member Name *

First Name Last Name

Address

Street Address

Street Address Line 2

City State

Zip Code

Cell Phone *

Preferred

Other Telephone

Optional for Work or Home number

Email *

example@example.com

Birthday Month and Day

MM/DD only

Spouse/Partner (if applicable)

GHIN #

If established, if not, this will be calculated after 5 games.

Our league's Facebook Group is a great place to connect with other members, if you select yes, you will receive an invitation to join after your payment has been received.

Yes No

Membership Dues $65.00 for 2022; $45.00 after Sept 1st.

Mail your check (payable to LFWGA Nine-Hole):

Mary Sue Whitney

6638 E. 105th St

Tulsa, OK 74133

Phone: 918-299-5478

Comments or Questions?

Optional