2008 Membership
2007 Annual Dinner

Registration Form

Flyer (Word) | Flyer (PDF)

Note: Social members must be sponsored by a regular or senior member, and then they must be confirmed for membership by the SRPGA board. Contract and temporary employees are eligible for social membership.

Please fill in the information below. When finished, click Send the Form. Remember to make your payment after you have registered.

You are strongly encouraged to pay by one of our new easy online/phone methods. Those paying their membership by one of these methods by December 20 will have their name entered in a drawing for a $50 Van's gift card.

 1. Name

      Membership
  $30 Regular Membership
  $15 Senior Membership*
  $30 Social Membership
 

      Dinner
  WILL attend: Steak
  WILL attend: Chicken
  Will NOT attend

 2. Name  

      Membership
  $30 Regular Membership
  $15 Senior Membership*
  $30 Social Membership (sponsoring)
  None
 

      Dinner
  WILL attend: Steak
  WILL attend: Chicken
  Will NOT attend

  $15 Guest

 3. Name  

      Membership
  $30 Regular Membership
  $15 Senior Membership*
  $30 Social Membership (sponsoring)
  None
 

      Dinner
  WILL attend: Steak
  WILL attend: Chicken
  Will NOT attend

  $15 Guest

 4. Name  

      Membership
  $30 Regular Membership
  $15 Senior Membership*
  $30 Social Membership (sponsoring)
  None
 

      Dinner
  WILL attend: Steak
  WILL attend: Chicken
  Will NOT attend

  $15 Guest

   
 Membership Information  

 Person 1 Above
 

 

   

 E-mail Address1
 
 

 
Home Address2
 

 Sponsored By
 (Must Be a Regular or Senior Member)
 
 

Eligibility for Membership 
   Social membership
   SRP Employee on SRP payroll
   SRP Board or Council member
   An officially retired SRP employee
   Have PERA privileges 

 Phone  
 Home3

 Cell3   

 Person 2 Above

 

   

 E-mail Address1
 
 

 
Home Address2
 
 

 
Sponsored By
 (Must Be a Regular or Senior Member)
 
 

Eligibility for Membership 
   Social membership
   SRP Employee on SRP payroll*
   SRP Board or Council member
   An officially retired SRP employee
   Have PERA privileges 

 Phone  
 Home3

 Cell3   

 Person 3 Above  
 

 

   

 E-mail Address1
 
 

 
Home Address2
 
 

 Sponsored By
 (Must Be a Regular or Senior Member)
 
 

Eligibility for Regular Membership 
   Social membership
   SRP Employee on SRP payroll
   SRP Board or Council member
   An officially retired SRP employee
   Have PERA privileges 

 Phone  
 Home3

 Cell3   

 Person 4 Above
 

 

   

 E-mail Address1
 
 

 
Home Address2
 
 

 Sponsored By
 (Must Be a Regular or Senior Member)
 
 

Eligibility for Regular Membership 
   Social membership
   SRP Employee on SRP payroll
   SRP Board or Council member
   An officially retired SRP employee
   Have PERA privileges 

 Phone  
 Home3

 Cell3   

 Comments


Contact information is kept confidential by the board of directors.

1  Flyers, pairings/tee times, results, and announcements are mailed as e-mail attachments (as well as being posted on the Web site).

2  Home address is for those who do not have SRP interoffice mail. It is used to send some winnings when those are not distributed at the course, or not distributed before players leave. It can also be used for those who do not have e-mail distribution, or for some reason need to have the documents mailed.

3  Phone numbers are only used in situations in which you might need to be notified, for example, changes in the tournament, checks not received, and so on.

* Remember to pay.

                                                       

* Notes
Make checks payable to SRPGA for $30.00 annual membership dues to Becky Harsh. For regular members (non-social members) 62 and older, make checks out for $15.00.

New Members: Send five previous score cards (if you have them) or a valid GHIN number to Nolan Fletcher.*

 

 

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Send questions or comments to:
Tom Barnett, x-6914 (email notes are fine: address is not posted because of spam problems).
Last updated January 02, 2011 .