MHGA Registration Form
Fill out the from below, print it out and mail it in with your check. Because you are printing this form and not submitting data, your information is guaranteed to be confidential. Name: Address: City, Sate / Zip: Day Phone: Evening Phone: E-Mail Address: . Membership Fee: $69.95 . GHIN #: ___________________________________ . Handicap: ___________________________________ . Membership Fee: $69.95 + Handicap Fee: $25 ($94.95 Total)X. I am enclosing a check: I am paying by Credit Card: VisaMaster Card American Express Discover Account Number: Expiration Date:. . Signature:_____________________________________________ . Mail To: MHGA 10 South Havana, #109-110 Aurora, Colorado 80012
Name: Address: City, Sate / Zip: Day Phone: Evening Phone: E-Mail Address: . Membership Fee: $69.95 . GHIN #: ___________________________________ . Handicap: ___________________________________ . Membership Fee: $69.95 + Handicap Fee: $25 ($94.95 Total)X. I am enclosing a check: I am paying by Credit Card: VisaMaster Card American Express Discover Account Number: Expiration Date:. . Signature:_____________________________________________ . Mail To: MHGA 10 South Havana, #109-110 Aurora, Colorado 80012