Middle Georgia Senior Golf Association      

MGSGA

                                              MIDDLE GEORGIA SENIOR GOLF ASSOCIATION

                                                         APPLICATION FOR MEMBERSHIP

TODAY’S DATE________________


Last Name______________First Name__________________Middle Initial____

Address____________________City__________   St_GA_Zip Code_________

Area Code________Phone___________________Date of Birth_____________

Cell Phone No._______________ Email Address_________________________

Spouse First Name (If applicable)___________Name of Sponsor_____________

Annual Dues are $20 per year. Please make checks payable to MGSGA.

Our mailing address is MGSGA P.O. Box 26026 Macon, GA 31221-6026.

Contact Person: Jim Davis Ph.478-550-4551. Email jimdavis333@hotmail.com.