2016 Sea 'N Air Membership Application/Renewal

First Name *

MI. *

Last Name *

Nick Name *

Sponsor's Name (Type "None" if a non-sponsored sign-up) *

2016 Fee Payment Schedule. Choose one *

Select below your payment fee to pay online: *

GHIN# (If none
enter 0000000) *

Name other golf club affilations. (Type None if
you are NOT a member of another golf club.) *

Rate / Rank or
Civ: *

Service
Branch: *

Status
AD or Ret: *

Date of Birth
(mm/dd/yyyy) *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Cell Phone

Email Address *

By joining or renewing with the Sea 'N Air Men's Golf Club and continuing below, you acknowledge support of the Men's Club's Objectives as stated in Article II of our Constitution (visit our website to view the Constitution).