Membership Request - NOVA Golf Club

Membership Information Request

All Fields (phone number exception) are Required Entries

Name -
First Name:
Last Name:
Contact Information -
Email Address:
Home Phone:	* Minimum of one of these phone numbers
Cell Phone:	* Minimum of one of these phone numbers
Work Phone:	* Minimum of one of these phone numbers
Mailing Information -
Street:
City:
State:
Zip:
Play times -
Can you play during the day Monday thru Friday?
Yes No Sometimes
Can you play on Saturdays?
Yes No Sometimes
Can you play on Sundays?
Yes No Sometimes
Do we have your permission to share this membership information with the NOVA Golf Club Board of Directors?
Yes No
Comments:	** Tell us a little about yourself. How did you hear about our club? Any specific reasons (brief, please) for joining our club? Include any current or past club members that you may know.

Privacy Statement: NOVA Golf Club is committed to the privacy of our current and future members. NOVA Golf Club will only use this information for purposes of contacting individuals requesting membership to the golf club, and if the requesting individual becomes a member, the information will be saved for future contact information. Under no conditions will this personal information be sold, shared, disseminated or otherwise transferred to any other individual or organization.