RWGA New Member Information

Name_______________________________________________

Spouse______________________________________________

Address ______________________________________________

Phone number: Home_____________ Cell ________________

Birthday: month/day __________________

Email address: _________________________________________

Please make your dues payment of $70 to Raintree Country Club or indicate you wish to be billed to your Raintree account. Place in RWGA basket.

Check included _________ Raintree account #_________