Name ______________________________________________________

Address ____________________________________________________

City _______________________________________________________

Zip ________________________________________________________

Is this a new address? Yes ____________ No __________

Company __________________________________________________

Home Phone (_______) ______________________________________

Work Phone (_______) _______________________________________

E- Mail Address _____________________________________________

NEW MEMBERS WITH AN SCGA CARD, PLEASE FILL IN YOUR SCGA MEMBER NUMBER AND GOLF CLUB. ____________________________ (i.e., 55- 8888)

Golf Club ___________________________________________

NEW MEMBERS WILL BE ADMITTED ON A FIRST COME, FIRST SERVE BASIS.

2006 FEES ARE:
________ $40 - Tidelands Employees’ Association Members (T.E.A.)
________ $45 - Non- T.E.A. Members

PLEASE PAY BY CHECK AND MAIL NO LATER THEN DECEMBER 1, 2005. (Make checks payable to the TIDELANDS GOLF CLUB).

FILL OUT THIS FORM COMPLETELY AND INCLUDE IT WITH YOUR CHECK. (This information updates your TIDELANDS GOLF CLUB and SCGA file.)

Return application to:

For questions regarding membership contact: