Member Club Officer Roster

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
Set as Club Administrator in online billing system? *

Yes No

Address

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

Phone Number

Area Code Phone Number
Email
example@example.com
Club Delegate / Rep *

First Name Last Name
GHIN #
Enter GHIN Number
Set as Club Administrator in online billing system? *

Yes No

Address

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

Phone Number

Area Code Phone Number
Email
example@example.com
President

First Name Last Name
GHIN #
Enter GHIN Number
Set as Club Administrator in online billing system? *

Yes No

Address

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

Phone Number

Area Code Phone Number
Email
example@example.com
Vice President

First Name Last Name
GHIN #
Enter GHIN Number
Set as Club Administrator in online billing system? *

Yes No

Address

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

Phone Number

Area Code Phone Number
Email
example@example.com
Membership Chair:

First Name Last Name
GHIN #
Enter GHIN Number
Set as Club Administrator in online billing system? *

Yes No

Address

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

Phone Number

Area Code Phone Number
Email
example@example.com
Treasurer:

First Name Last Name
GHIN #
Enter GHIN Number
Set as Club Administrator in online billing system? *

Yes No

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: