Application
* Fee MUST accompany application for NGA Pro Golf Tour Membership and
3% Administrative Fee for all telephone Payments
Mail To: NGA Pro Golf Tour Membership Fees: $2,000 if paid by December 30, 2011
550 Highway 9 East-Unit B $2,200 if paid after December 30, 2011
Longs, SC 29568
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Name:
SS/TIN#: E-Mail:
Address:
City: State: Zip:
Home Phone: Cell Phone:
Birthplace: Hometown:
College: Major:
Marital Status: Wife’s Name:
# of Children: Name (s) & Age (s):
Height: Weight: Age: DOB:
Hobbies:
Year Turned Pro:
Professional and Amateur Achievements (PGA/Nationwide events entered, significant finishes, honors, money earnings, etc.):
Local/Hometown Media (w/contacts you know)
Print:
Radio/T.V.:
Lowest Round as a Professional (where and when):
Club Membership (s):
(IF YOU PLAYED COLLEGE GOLF YOU DO NOT NEED TO ATTEND RANKING SCHOOL)
RANKING SCHOOL CHOICES: (IF APPLICABLE) 1ST CHOICE 2ND CHOICE
Orlando,
( Southern Dunes )
North Myrtle Beach, SC Jan 31-Feb 2, 2012
(Barefoot resort)
*THE RANKING SCHOOL SITES IN ORLANDO, HAINES CITY AND MYRTLE BEACH WILL BE CONDUCTED AS PART OF THE WINTER SERIES EVENT THAT WEEK AND PLAYERS WILL HAVE A CHANCE TO EARN MONEY AS WELL AS EARN THEIR RANKING STATUS FOR THE 2011 SEASON.
Membership Refund Policy- Fully Exempt members who did not attend
I, , grant the National Golf Association the right to any photos, personal or historical information herein for media and public relations use now and in the future. I also agree to adhere to Tour policy and procedure, and acknowledge that failure to do so may forfeit my Tour membership.
(Signature) (Date)
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