Form

Member Club Officers

Please fill in the form below.
Women's Club Name: *
Officer Term Dates:
Election Date:
Club Champion:

First Name Last Name
State Medallion Gross Winner:

First Name Last Name
State Medallion Net Winner:

First Name Last Name
President

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number
Email
example@example.com
AWGA Rep

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number
Email
example@example.com
Handicap Chairman:

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number
Email
example@example.com
Handicap Certified #1:

First Name Last Name
Handicap Certified #2:

First Name Last Name
Handicap Certified #3:

First Name Last Name
Treasurer:

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number
Email
example@example.com
Bill To:

Home Course
Course Name:

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number
General Manager:

First Name Last Name
GM Email
example@example.com
Director of Golf:

First Name Last Name
Dir. of Golf Email:
example@example.com
Head Professional:

First Name Last Name
Head Pro Email:
example@example.com
Should be Empty:

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