SAN LUIS REY DOWNS MEN’S CLUB

APPLICATION FOR MEMBERSHIP 2008

ALL INFORMATION MUST BE COMPLETED TO BE ACCEPTED

Name: _________________________________________________________

Address: _______________________________________________________

City: __________________________ State: _________ Zip: _____________

Day phone: __________________ Evening phone: _____________________

Email address: ___________________________________________________

Renewal ___ New Member ___ If this is a renewal, is your address label correct? (Y/N) ____

Please remit $100 to renew membership for 2008. An additional $10 fee will be due if you don’t renew by 12/13/07.

NEW MEMBERS ONLY

If you are a new member, are you currently a member of an SCGA affiliated club?

Yes_____ No _____

If yes, current club name:

 How did you hear about SLRD Men's Club?

SCGA # __________ Index _________

New Member Dues: $100 (Club dues plus initiation fees)