Fox Valley Men’s Club Membership Application 2011

Last Name (Please Print) First Name Phone # Member #

_____________________________ _________________ _______________ ________

E-Mail address: ___________________________________________________ Shirt Size: ____________

____ I wish to join the Men’s Club but will not golf in the Wednesday League.

Please complete only the following section appropriate to your application status:

For 18 hole and 9 hole RETURNING TEAMS from last year (2010) only:

____ I am a returning 18 hole league player and my partner(s) were:

1^st partner________________________________________________

2^nd partner________________________________________________

____ I am a returning 9 hole league player and my partner(s) were:

1^st partner________________________________________________

2^nd partner________________________________________________

Please mark (9 hole only) in order of your tee time preference, with 1 as your first choice and 4 as your last choice.

___ 3:15 – 3:42 PM ___ 3:51 – 4:18 PM ___ 4:27 – 4:54 PM ___ 5:03 – 5:30 PM

For Returning Substitutes:

____ I wish to remain as a substitute in the 9 hole ____, 18 hole ____ Both ____.

____ I am interested in playing as a member of an 18 hole team.

____ I am interested in playing as a member of an 9 hole team:

Please mark (9 hole only) in order of your tee time preference, with 1 as your first choice and 4 as your last choice.

___ 3:15 – 3:42 PM ___ 3:51 – 4:18 PM ___ 4:27 – 4:54 PM ___ 5:03 – 5:30 PM

For New Members:

(Please refer to Wednesday League Information – Eligibility Rules)

_____ I wish to substitute in the: 9 hole _____ 18 hole ______ Both ______

_____ I am interested in playing as a member of an 18 hole team.

_____ I am interested in playing as a member of an 9 hole team:

Please mark (9 hole only) in order of your tee time preference, with 1 as your first choice and 4 as your last choice.

___ 3:15 – 3:42 PM ____ 3:51 – 4:18 PM ____ 4:27 – 4:54 PM ____ 5:03 – 5:30 PM

Please mail this application and check for $180.00 made payable to
The Fox Valley Men’s Club by March 20, 2011to:

Fox Valley Mens Club

Attn: Doug Gross

336 Harris Hill Rd.

Williamsville, N.Y. 14221