DUES NOTICE/APPLICATION FOR MEMBERSHIP

Date:  ___________

New Membership _________         Renewal ________

I hereby submit my application for membership/renewal (as indicated above) for membership
in the North Florida Golf Course Superintendent’s Chapter

MEMBER CLASSIFICATION:   (Please circle appropriate category)

CLASS A:     Golf Course Superintendent for more than three years and is currently employed in such capacity.

CLASS SM:  Golf Course Superintendent for less than three years and is currently employed in such capacity.

CLASS C:     Assistant to a Golf Course Superintendent and is currently employed in such capacity.

CLASS F:     Retired Golf Course Superintendent – No Dues Required.

CLASS H:    Honorary Member of the Association – No Dues Required.

DUES FOR ALL CLASS A and SM  MEMBERS:  $135.00*
DUES FOR ALL CLASS C MEMBERS:  $90.00*
*Includes yearly dues for Florida Golf Course Superintendent’s Association

Name:   ________________________________________________________________________

Mailing Address:    _______________________________________________________________
                                                             (for correspondence & announcements) 

City, State, Zip:    ___________________________________         Phone (___)_______________

Employer/Golf Course Name:  _____________________________________________________

Fax Number: (    )___________________    E-Mail Address:  _____________________________
                                                                                                     (for correspondence & announcements)

GCSAA Member Number ________________

IMPORTANT NOTICE:   Dues deadline is July 1, 2010.  The information provided above will be used for the Annual Directory, so dues must be paid promptly so your information can be included.  If your dues are received after the deadline, it is very possible that you will not be included in the Florida GCSA or the NFGCSA directory. No Board Member shall accept dues. 

Make checks payable to:    
N. F. G. C. S. A.
P.O. Box 37310
Jacksonville, Fl. 32236

For payment of dues for 6 months-$67.50-click on PayPal button

Class A and SM Member $135.00 Class C Member $90.00

TO BE COMPLETED BY NEW MEMBERS:

YOU MUST BE RECOMMENDED BY TWO CLASS “A” MEMBERS:                  

1.)      ____________________________________                                                                                                             

         2.) _____________________________________

  APPROVED BY BOARD OF DIRECTORS 

Date: ______________________

By:  _______________________