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Membership Application

Sponsor : ________________________________

Proposed New Member Data

Last Name : ____________________________

First Name : ____________________________

Nick Name : ____________________________

Other Half First Name : ___________________

Telephone Number : _ _ _ - _ _ _ - _ _ _ _

Address : ______________________________

Sun City Center, Fl 33573

Handicap Number : _ _ _ _

Handicap : _ _

( The maximum allowed handicap is 25 )

Day desired to Play Tuesday : Yes ___ No ___

Thursday : Yes ___ No ___

Saturday : Yes ___ No ___

All proposed members will be on a 60 Day Probation.

If two or more members have an objection the

proposed member will be terminated.

** Turn in request to the OMEGA Benevolent Dictator **