1a. New Member - Metro Sr

Payer Identification
Credit card payer information last name and email address are required to allow matching of credit card payment to member registration. Refunds are issued only to the payer of record. These should match credit card information.
*CC Payer Email
*CC Payer Last Name
Personal Information
IMPORTANT: Accurate contact information is important. Please use your preferred FIRST NAME (legal name or nickname). Email is used to communicate event information. Mailing address is used for refunds and End of Year prize payments. Info will be input to your User Profile in you Division Website. You should review and revise your profile data if it changes.
*Email:
ID# (Assigned)
*Last Name:
SUFFUX, Jr, Sr, II
Middle Inital
*First Name:
Preerred Name or Nickname
*Address
*City:
*State:
*Zip Code: 5 Digit Only
*Primary Phone (Cell):		NUMBERS ONLY PLEASE
Gender:
*Date of Birth:
How did you hear of us?
Were you referred by a member?	Yes No
Name:
ID#
Membership Dues and Division Preference
Division Preference:
Placement into Divisions 1-5 will be determined by membership chair PLEASE NOTE: As of 2-4-2024 ALL THURSDAY DIVISIONS ARE FULL - Div 3, 4, and 5 No new or renewal memberships will be accepted. Space is still availabl in our Friday Divisions 1 and 2.
Division Preferred? Friends in a Division?
Division Second Choice:

You may play in up to 3 Divisions, one each on a Wednesday, Thursday or Friday. A separate membership application and payment is required for each division.

All Metro Seniors members agree that they will hold harmless, Metro Seniors, its officers and directors in the event they are injured or contract a virus while playing golf in a Metro Seniors golf event.

Members are required to serve as a Starter or Scorer or other service as approved by the Division VP. You are agreeing to serve as a Starter or Scorer with this application. Failure to serve may result in suspension or termination of membership. Starter or Scorer service is easy and requires just a few extra hours each year.
Grand Total: (Must NOT be $0.00)
I want to help!
	I agree to serve as Starter or Scorer	Service is Required.
Interested in Committee or Board Services?	Yes No	We need your skills & energy!
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