Fairfield Senior Golf Association
2012 Application
Note: We are now a WEDNESDAY ONLY league
The annual dues for the Fairfield Senior Golf Association members for the year 2012 will be $40.00 ($25 if you’re also a member of the Men’s Club), and must be received by April 1st to allow time to prepare the flights. Early payment would be appreciated. Handicaps will be provided by CSGA. Please return this completed sign-up sheet, and check made out to F.S.G.A, to Ronald Wayne at the address below.
Returning members – Fill out BOLD areas ONLY, sign and return with check.
New members – Fill out COMPLETELY, sign and return with check.
Name, Print_______________________________________Tel#_________________
Address_________________________________________________________________
City________________________________________________________________
Zip____________________
Are you also a member of the HSR Men's Club Yes______No______
Specify 18 hole handicap (New members only) _______GHIN #___________________
Date of Birth_______________
e-mail address______________________________________________
Signature___________________________________________________Date_________________
Return completed sign-up sheet w/payment made out to FSGA to:
Ronald Wayne, 1680 Cross Highway, Fairfield, CT 06824, (203) 362-8084