Hi-Lo Desert GCSA - Member Application

* First

* Last

* What Membership type are you and/or interested in?

Class A
Class B
Class C
Class A - Retired
Class AA - Life Member
Class EM - Equipment Manager
Class S - Student
Affiiliate
Bronze Sponsor
Silver Sponsor
Gold Sponsor
Diamond Sponsor
Platinum Sponsor

GCSAA Member Number

* Club or Company

Cell Phone (including area code)

* Business Phone

* Email

Secondary Email

* Street

* City

* State

* Zip

Business Street Address

Business Address City

Business Address State

Business Zip Code

Current Occupation Title

Number of years in current position

I am directly responsible to

Golf Course Superintendent
General Manager
Owner
Green Committee
Park Superintendent
Recreation Superintendent
Other

Application Date

By entering my name here I apply for membership and agree to be bound by the Bylaws of the HLDGCSA.

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Hi-Lo Desert GCSA ID:

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