Callippe Senior Golf Club
2012 Membership Application (*required information)
PLEASE PRINT LEGIBLY
Membership is from November 1, 2011 to December 31, 2012

* Name (First & Last)  
*Address  
*City  
*State  
*Zip Code  
*Email Address  
*Phone - Home  
Phone - Work  
Phone - Cell  
Payment Non NCGA Member $90
Payment Current NCGA Member $80
*Date of Birth  
*NCGA GHIN #  

I hereby apply for membership to the Callippe Senior Golf Club, a nonprofit organization, and agree to be bound by all by-laws, rules and regulations of said club; and all agreements that have been entered into by said club as of the date of this application; and all the agreements that the board of directors and officers of  said club enter into subsequent to the date of this application. 

 Signature:  Date:
 Sponsor:  Sponsor CSGC member or Board Approval

Mail Application and Check to:
Callippe Senior Golf Club
C/O Joe Kettwig
640 Carlsbad CT.
Livermore, CA 94551                     
jkettwig@comcast.net                                                                                      
Club Website:  
www.callippeseniorgolfclub.com

Club communication is accomplished through this website and emails.  Tournament entry forms, pairing announcements, results, and general club information is all done in this manner. If you have no access to a computer, it will be your responsibility to contact the club to keep up to date. NO personal information will be shared with anyone outside this club.