Club Officer Roster
Please fill in the form below.
Club/League Name:
*
Demographic
Men's Club
Women's Club
Combined Men's & Women's Club
Club Type
18 Hole Club
9 Hole Club
Officer Term Dates:
Election Date:
Handicap Chairman:
First Name
Last Name
Handicap Chair is a required position and must be held by a club member.
GHIN #
Enter GHIN Number
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.
Yes
No
Club Delegate / Rep
First Name
Last Name
GHIN #
Enter GHIN Number
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.
Yes
No
President
First Name
Last Name
GHIN #
Enter GHIN Number
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.
Yes
No
Vice President
First Name
Last Name
GHIN #
Enter GHIN Number
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.
Yes
No
Membership Chair:
First Name
Last Name
GHIN #
Enter GHIN Number
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.
Yes
No
Treasurer:
First Name
Last Name
GHIN #
Enter GHIN Number
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.
Yes
No
Bill To:
Club Treasurer
Golf Facility
Course Name:
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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
Please verify that you are human
*
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