New member application

Applicant name:________________________________________________

Applicant address:______________________________________________

Applicant phone no.__(_______)___________________________________

Applicant date of birth ______/______/______

Applicant email (if any):________________________ No email________

Applicant 7-digit ghin# (if any):__________________ No ghin#______

Applicant previous club (if any):____________________________________________

Sponsoring member's name:_______________________________________

If an applicant does not have a sponsor, we will make every effort to provide a sponsor for him.
The purpose of a sponsor is to introduce a new member to the Club and its activities.

Fee:
  Membership fees are determined by the DEGC, Inc. board of directors. When your membership
  application is accepted, you will receive an introduction letter containing
  complete fee information. There is an initiation fee and membership dues.

Send to:  DEGC Club Secretary, Dave D'Aurelio
US Mail:
  DEGC, Inc.
  c/o Dave D'Aurelio, Club Secretary
  32 Sunny Mill Lane
  Rochester NY 14626

DEGC Application (MS-Word)