Membership Application

Please read carefully

To become a member: To become a member you must first be a member in good standing with the Northern Californian Golf Association (NCGA) after which you can become a member of the Churn Creek Golf Association (CCGA).
Cost for first year: $46.00 fee for NCGA membership (only first year) and $20.00 fee for the CCGA membership what gives a total of $66.00.
Cost for renewal: $36.00 fee for NCGA membership (renewal) and $20.00 fee for the CCGA membership that gives a total of $56.00.
Please make checks payable to: Churn Creek Golf Association
Renewal: Membership in the CCGA and NCGA expires on December 15th and must be renewed annually. There is a $10.00 NCGA fee if dues are paid after December 31^st.
Total dues to be paid at the desk.
For more information: Send email to Rick Faller (secretary) for more information about membership inquiry, applications and website questions.

If you would like to become a member of the NCGA and CCGA please fill in this form.
For regular renewals please fill in, if you have changed your address, email of phone number.

Membership form (* fields are required to be filled in)

Last name*:
First name*:
MI:
Home address*:
>City*:
State*:
Zip*:
Email address*:
Home phone*:
NCGA GHIN # if applicable:
Date of Birth:
Spouse name:
Spouse date of Birth: