2009 Membership

Membership is good until:
March 2010

Your Membership Application is not complete without payment.

Upon completing this form you will have the option of paying for your membership through either Google Checkout or PayPal. If you do not have an account with either provider, you will have the ability to sign up for either of these free services during the checkout process.

Membership Rates:

*The fees online are more expensive due to the processing fees the Men's Club must pay per transaction. These fees are approximately:

***The Men's Club collects an additional $10.00 from any member particpating in Connecticut State Golf Association events.

Membership Sign up for 2009

Step 1 of 2

1. First Name A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

2. Last Name A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

3. Street Address A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

4. City A value is required.Minimum number of characters not met.Exceeded maximum number of characters.

5. State Please select a valid item.Please select an item.

6. Zip Code A value is required.Invalid format.

7. Telephone (xxx-xxx-xxxx) A value is required.Invalid format.

8. Email Address A value is required.Invalid format.

9. Date of Birth (mm/dd/yy) Invalid format.
(Mandatory for Jr. or Sr membership)

10. New or Renewal:



If previously had a GHIN handicap, please provide your GHIN #
Please make a selection.

11. Type of Membership:

[plus processeing fee]
[plus processeing fee]
[plus processeing fee]
Please make a selection.

               

*Upon clicking the "Submit" button, you will be taken to a page that allows you to pay for your membership with either Google Checkout or PayPal. If you do not have an account with either provider, you will have the ability to sign up for either of these free services during the checkout process.

**Both Google Checkout and PayPal allow you to pay with your credit card or debit card.

***PayPal also lets you pay directly from your bank account.

****Both Google Checkout and PayPal utilize secure transactions.