Member Information
Member Number
Name
(First/Middle/Last)
Address
,
Phone
FAX
(
Send update notices to this account instead of e-mail account on file with the PGA)
E-Mail
Facility Authorization
I am not entitled to receive incentives from my employer
I own the golf shop and do not require require permission to receive incentives.
(Facility Authorization form Option 1)
I don't own the golf shop, but have received permission to receive incentives.
(Facility Authorization Form Option 3)
Facility Information
Facility Number
(if known)
Customer Number
(if known)
Facility Name
Facility Address
,
Facility Phone
Facility FAX
Facility Web-Site