WCGT 2012 Membership Application

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Weekly Challenge Golf Tour^® Application

You can either print this form and send to:
or fill it out and send it online!
( If sending online - you must pay by credit card. )
E-mail: dennis@wcgt.com

7720 W. Touhy Ave. - Suite C, Chicago, IL 60631
Phone	773-763-4906	Fax	773-763-4907

WCGT 2012 Membership Application

RENEWALS-(Please fill out all information completely so that we may update our files.)
I will need a new WCGT Tour card and bag tag.
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NEW MEMBERS- (Please fill out all information carefully.)
I heard about the WCGT from:

WCGT MEMBER #:
MEMBER SINCE:
NAME:
ADDRESS:
CITY:
STATE:
ZIP:
EVENING PHONE:
DAYTIME PHONE:
CELL PHONE:
PAGER #:
FAX #:
E-MAIL:
Best place to call in emergency:
BIRTH DATE:
SEX:	Male Female
SOC. SECURITY #:
(Form 1099 Required by IRS to be issued to all members on all winnings totaling $600 or more)

For New Members Only (Check only 1.Box)

...... I will play as an AMATEUR (For gift certificates, not exceeding $750 per event to maintain my Amateur Status.)

..................................................................

...... I will play as a NON-AMATEUR (For cash awards, no Amateur Status recognition or limits on amounts won.)

Verifiable handicap index: CDGA Member #
Fax or Mail copy of your card to WCGT. -- Golf course handicap is from: .

No current handicap index.

Please send in five (5) current, signed, and attested SCORE CARDS to 7720 Touhy Ave., Suite C, Chicago, IL 60631 or fax to (773) 763-4907 with your name address and phone number. Your 1^st WCGT event will be a qualifying round, to establish your handicap index.

WCGT MEMBERSHIP PAYMENT

(For official WCGT tour card, which allows you to participate in as many WCGT tournaments as you wish,
sponsor discounts, course discounts and includes payment of your 2011 CDGA membership fee. )

Membership ( Check One )

New Member $175.00	Returning Member $150.00
	Must have been member last Year

Check # _______ Enclosed for $___________ made payable to WCGT.
(Only if sending in application and not using online form.)

Charge membership(s) to my Visa MasterCard Discover Card American Express.

Card #:	Expiration Date:
CVV #	(Master Card/Visa/Discover: 3 digit number from back of card) (American Express 4: digit number from right/front of card)
NAME as listed on Credit Card:

Please send me additional applications & brochures to give to my golfing friends.