(Please print this application, complete it, and mail to the address below)

Name: ___________________________________________

Address: _________________________________________

City and Zip Code: _________________________________________

Phone: (H) __________________ (Cell) _______________ (Work)________________

EMAIL Address: ____________________________

Wife's Name: ______________________

CDGA Handicap Number: ______________________

Handicap: __________________________

Occupation: __________________________

If you are a new member and were referred by a current Men's Club member, please list

 his name here:  _____________________________________

Membership Fee: $85.00 Returning Members
                        $75.00 Seniors over 65
                        $49.00 New Members

Make Checks Payable to: Glenview Men’s Golf Club

Mail to:    

Jack Zur             
1506 Basswood Circle
Glenview, IL 60025

Or drop your payment off at the Pro Shop's Main Desk at the Glenview Golf Shop.