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New/Renew LMDG Club Membership

Fill out the form below and select the “Submit” button at the bottom when you are finished. Your registration request will be emailed to us, reviewed and payment will be coordinated through email, online or in person. The contact information you provide WILL only be used to communicate with you for LMDG Club Events. If you plan on volunteering to help then please remember to leave a contact phone number. 

If you have problems sending us the form then download the hard copy form here, print it out and leave the completed form in the Pro Shop with Mike Williams. I will pick it up from him within the next day or two. Thanks, Rick Ascheri

Membership: New Renewal
LMDGC ID:
First Name:
Last Name:
Address:
City:
State:
Zip:
Phone Number:
email:
Date Of Birth:
Home Course:
Volunteer To Help: Yes No Maybe
Volunteer Comments:
Will Pay By: Cash Money Order Online Check
Payment Comment:

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Last Updated: 01/09/07

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