Callippe Senior Golf Club
2010 Membership Renewal Form
(*required information) (Only fill in the other blanks if something has changed)
Membership is from November 1, 2009 to October 31, 2010
 

* Name (First & Last)
Address  
City  
State  
Zip Code  
Email Address  
Phone - Home  
Phone - Work  
Phone - Cell  
Renewal Membership Dues $80  

Renewal after October 31 $10 late fee          $90__________

I hereby apply for membership renewal 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:

Mail Application and Check to:
Callippe Senior Golf Club
C/O Bill Hurley
798 Morninghome Road
Danville, CA 94526                     
wchurley@sbcglobal.net                                                                                       
Club Website:  
www.callippeseniorgolfclub.com