Please print this form, fill in the requested information below and return this form
with check or money order, made payable to Creekside Golf Club,
to the Creekside Pro Shop or mail the form to:
Creekside Golf Club
701 Lincoln Ave.
Modesto, CA 95354
For membership questions, contact the Board through the website or give a Board member a call. Please print legibly.
Name: _________________________________________ Date: _________________________
Address: _______________________ City: _________________ Zip: _____________________
Phone: __________________________ Email: __________________________
Please check here if new address, phone number or email address ______
Male ______ Female _______ Junior ________ If under 18, date of birth ____________
Other Clubs that you belong to: ______________________________
PWGA/NCGA # _________________________ Index ______________________
New Membership - $76 ____
Amount Paid _________ Check No. _________