2009 Membership Application Form

Name    ________________________________________________________________________

Address    ______________________________________________________________________

City    ____________________________________ State    _______________    Zip___________

E-mail:_________________________________________________________________________

Date or Application    __________________

                                                                        "Please Check One"
                                                Renewal    ________    New Member    _________

                                                Renewal - $10               New Member - $15

Please make checks payable to:         Columbia Disc Golf Club
and send to:                                       c/o David Sauls
                                                         4064 Beltline Blvd.
                                                          Columbia, SC 29204