Membership Application

Fill out and submit the form below. Once the form has been submitted go to www.rosevillegolfclub.com/membershippayment.html to submit your payment. If you have any questions please e-mail treasurer@rosevillegolfclub.com. By applying for membership in the Roseville Golf Club, If accepted, you agree to observe all the By-Laws and Rules and Regulations of the Club.

Printable Membership Application .pdf

 Name & Mailing Address

 Name:  

   Street address line 1: 

   Street address line 2: 

   City:      Zip:  


 Phone Number:

 E-mail:

 May we send you the newsletter by e-mail? Yes No  

 

 Type of Membership:
 Select one:
    2007 RGC Members - Renewal before November 30th ....................... $65.00
    2007 RGC Members - Renewal with Diamond before November 30th ... $125.00
    2007 RGC Members - Renewal after November 30th ......................... $80.00
    2007 RGC Members - Renewal with Diamond after November 30th ..... $140.00
    RGC NEW MEMBER...................................................................... $80.00
    RGC NEW MEMBER with Diamond.................................................. $140.00
    RGC Past Presidents - Renewal before November 30th ...................... $40.00
    RGC Past Presidents - Renewal with Diamond before November 30th .. $100.00
    RGC Past Presidents - Renewal after November 30th ........................ $50.00
    RGC Past Presidents - Renewal with Diamond after November 30th .... $110.00
    RGC Husband & Wife - Renewal with Diamond before November 30th .. $235.00
    RGC Husband & Wife - Renewal with Diamond after November 30th .... $245.00
    (All the above fees include a $10.00 Special Events Fund for extra prize money
    at each event.)
    Junior (under age 18) N.C.G.A. Membership ONLY.............................. $ 8.00
     Junior Birthdate:  

 


 Do you have a NCGA GHIN Number? Yes No   
 If yes, NCGA GHIN Number:

 If other than RGC- Name of Club and Club Number (from back
 of card):


All N.C.G.A. Handicap cards
will be mailed directly to your mailing address, by N.C.G.A.