Burbank Men’s Golf Club, Inc.

2007 Membership Application

Member Name: Spouse:
Address:
City: State, Zip:
Home Phone: Work Phone:
Cell Phone: Email:
Occupation: Employer:
Information above will be published in our annual roster

Type of Membership (check one box):

Renewal: $45.00 (available after July 1, 2007)

* New Membership: $45.00; Sponsor (optional):

(available after July 1, 2007)

Please make check payable to: BMGC

P.O. Box 1254
Burbank, CA 91507

*New Membership Only:

Are you affiliated with any other Golf Club?

If yes, what is your PLGA/SCGA Index Number (six Digit Number):

If you are NOT affiliated with another club, please include scorecards with your application or complete the
section below so we can provide you with a handicap that will allow you to participate in BMGC
tournaments. A minimum of 5 scores are required for an index. Attach a separate sheet or continue on back
if more entries are available.
Each entry will require a Slope and Rating for each respective course.
Date Course Slope Rating Score

Any membership questions please speak with or email Carlos Quinteros – carlos_quinteros@ars.aon.com

Member Signature:

BMGC USE ONLY:

Board Member:
Date Received:
: Check
: Cash Date Renewed:
: Amount Submitted by:
Forward originals to Carlos Quinteros – Membership Chair Page 1 of 2
 Burbank Men’s Golf Club, Inc.
2007 - Hole In One
Feeling good about your game? Here’s a chance to cash in. There is a $12.00/year pool
that will pay out to the first individual who gets a Hole In One.

Here’s the catch, the Hole In One must be achieved during a completed BMGC
sanctioned tournament; no exceptions. Should there be two or more players with a Hole
In One within a particular month, the pool will be split equally between the lucky players.
Again, both events must occur in the same month and in a BMGC sanctioned tournament.

Any questions with the Hole in One pools, please call or speak with Jay McQuoid
818/662-6944

SELECT ONE BOX:

Pool A: Renewal $12.00 for all current participants.

Please send a SEPARATE check payable to: BMGC

P.O. Box 1254
Burbank, CA 91507

SCGA Renewals:
Please contact Laurent Jean (L.J.) for renewal applications.
Phone: 213-304-8997
Email: sun-baked@yahoo.com

Member:

Member Signature:

BMGC USE ONLY:

Board Member:
Date Received:
: Check
: Cash
: Amount
Page 2 of 2