DATE_________________  
Please check here if you are new member_________
Please check here if you have changes below from last year____                                                                         
PRINT NAME________________________________________________________                         
                        Last                                             First                       Middle Initial

ADDRESS – STREET_________________________________________________                                     
(This MUST be address where PO will forward mail.)
CITY_________________________________   STATE________   ZIP___________  

PHONE(        )_______________________LOCAL PHONE__________________________

GHIN#_________________        LOCAL #___________RESERVATION / BAG TAG # _________________  

E-MAIL ADDRESS (The one you use in the Chelsea system )_____________________  

CVMGA provides USGA handicap service to all players who regularly play Cranberry Valley Golf Course.
If you are a member of the course, you may participate in CVMGA events and tournaments.

MEMBERSHIP TYPE:

ADULT $40.00_________  JUNIOR (Age 17 and under) $0.00  FEE WAVED       JUNIOR BIRTH DATE______                                            

Please answer the following questions:
Have you had a Cranberry Valley handicap in the last two years?   Circle…Yes         No
If not:   
Have you had a USGA handicap elsewhere?                                   Circle…Yes       No    
If yes, where______________________: What is your GHIN # ?_____________                                                                                                                                                     (Generally 6 or 7 digits)

Please return this application along with your check made payable to CVMGA for $40.00 and mail to
CVMGA, PO Box 975 , Harwich , MA 02645
Absolute deadline is April 1, 2011.  Participation in Sweepstakes will not be allowed without dues having been PAID.

                                                                        Signed______________________________