Lake Chabot Golf Club     2010
 Application and renewal for membership (Please Print)
Lake Chabot Golf Club is holding down PRICES by absorbing N.C.G.A. raise of $6.00

(Ladies welcome ! Needed to start A Ladies Flight

Plan A                                                                                Plan B
Tournament Player                                                                     N.C.G.A. Member

Must play 3 rounds for N.C.G. A. Qualifiers        Discount fees for PoppyRidge and Poppy Hills
No tournament fees        $10.00 surcharge for tournaments
Discount fees for PoppyRidge and Poppy Hills        

New Member:  ____                        Tournament Player_________
Junior Member (under age 18):  ____        Birth Date_____________________________        
                                        
Full Name:  ______________________                Age:  _____
Address:     _______________________                 City:  _______________________
State:          ______                                        Zip:   ________
Day Phone: (____) ____________________                   Evening Phone: (_____) __________
 
E-Mail (club use only): _________________________________
 
NCGA# (if applicable):                                           
 
Enclose a check per the following fee schedule (fee includes NCGA Membership)

        Senior Member Plan A                                                        $70.00
        Senior Member                                                                $50.00
Existing Member: Plan B        .        .        .        .        .        .                $75
Tournament Players  PlanA                                                                $95.00
Junior Member: (Under Age 18):        .        .        .                                $12.50


I hereby apply for LCGC membership and agree to abide by all bylaws of the club.
 
Signature:  ________________________________           Date:  ____________

Please mail completed application with check payable to Lake Chabot Golf Club.
Send to P.O. Box  21387 Oakland,Ca.94620
New NCGA members will receive their NCGA number and information packet in 2-4 weeks.
Please visit our website for more information at http://www.lakechabotgc.net/ (Use Internet Explorer).