Bella Vista 18 Hole Men’s Golf Association

2012 Membership Application:

Attention Members: 2012 looks to be another great year. To help our association grow, we
will reward current members for recruiting new members to join in 2012. We will pay $10
cash for each and every new member you recruit.  Payouts will be made at the Spring and
Fall Banquet.


Please Print

 

Last Name____________________________________________   First Name____________________________________

                                                        

 

Customer No._____________________________               

                          (From POA Activity Card)

 

Address_____________________________________________  City____________________________  Zip_____________

 

 

Telephone___________________________________________ E-mail address_____________________________________

Cart Status:  Own_______  Lease______ None______

VALUE CARD (V)_______ ANNUAL GOLF GREEN FEE (AGGF)_______

_____ Check here if you are a new member or did not play last year.

Sponsor's name if you checked you are a new member or did not play last year:________________________________


$________ $60.00 Membership Dues (Includes annual handicap maintenance fee)
                 

Spring Banquet will be held on Tuesday, March 27, 2012.
(Tickets available March 1 at Country Club Golf Division Office and Kingsdale Golf Shop for $5.00)

Make checks payable to: Bella Vista MGA

Mail this form and payment to:                                          
Bella Vista MGA
Attn: John C Middleton
3 Luss Circle
Bella Vista, AR 72715
(479) 876-6144

(You may also drop off at the Golf Division office)

Direct questions to Pete Larsen (479) 268-4751 or John C Middleton (479) 876-6144.