Membership Application

Name:_*_________________________________Age____ Phone: (Home)_______________

Address: *__________________________________ Phone: (Mobile) __________________

Email Address_*______________________________________________________________

City: _____________________________________ Zip Code: _________________________

Birth Date:  Mo____ Day____Year____________ Spouse’s Name: ____________________

Junior Golfers in the family __________________

Name: _____________________________________________________Age:______________

Name: _____________________________________________________Age:______________

Name: _____________________________________________________Age:______________

First Time Member________________ or Renewing Membership______________________


Regular Membership $40.00_______________

Did you serve in the Armed Forces of the USA   ___________ if yes branch______________

Paid: Check#______________ Cash______________ Date Paid: _______________________

Which Committees will you be interested in helping

Scholarship__________ Jr. Golf______________ Club House_____________
Fundraising__________ Good & Welfare______ Special events___________

Tournaments_________ Family Outing________ News Letter_____________
Children’s Christmas Party__________                Membership Drive________

 Your Average Score or Established HDCP______________

 ________________________________                        __________________________________

Member Signature                                                           Officer Signature

Send completed application and payment to:
Pan American Golf Association

Attn: Treasurer
4102 Rippling Creek Dr.
Corpus Christi, Texas 78410-3

Our Membership Dues are $40.00 a Year.

Any new member joining in after July 31, will be good for that year and the following year.

When filling out the form please be sure and enter specially the highlighted fields.