Club Officer Roster Form

Club Officer Contact Form

Please fill in the form below.
Club/League Name:
Club/League Name*
Demographic

Men's ClubWomen's ClubCombined Men's & Women's Club
Club Type

18 Hole Club9 Hole Club
Officer Term Dates:
Election Date:
Handicap Chairman:

First NameLast Name
Handicap Chair is a required position and must be held by a club member.
GHIN #
Enter GHIN Number
Phone Number

Area CodePhone Number
Email
example@example.com
Should this club officer be set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.

YesNo
Club Delegate / Rep

First NameLast Name
GHIN #
Enter GHIN Number
Phone Number

Area CodePhone Number
Email
example@example.com
Should this club officer be set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.

YesNo
President

First NameLast Name
GHIN #
Enter GHIN Number
Phone Number

Area CodePhone Number
Email
example@example.com
Should this club officer be set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.

YesNo
Vice President

First NameLast Name
GHIN #
Enter GHIN Number
Phone Number

Area CodePhone Number
Email
example@example.com
Should this club officer be set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.

YesNo
Membership Chair:

First NameLast Name
GHIN #
Enter GHIN Number
Phone Number

Area CodePhone Number
Email
example@example.com
Should this club officer be set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.

YesNo
Treasurer:

First NameLast Name
GHIN #
Enter GHIN Number
Phone Number

Area CodePhone Number
Email
example@example.com
Should this club officer be set as Club Admin in Golf Nations billing system? Will have access to billing details and receive monthly billing notifications.

YesNo
Bill To:

Club TreasurerGolf Facility
Course Name:
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
General Manager:

First NameLast Name
GM Email
example@example.com
Director of Golf:

First NameLast Name
Dir. of Golf Email:
example@example.com
Head Professional:

First NameLast Name
Head Pro Email:
example@example.com
Please verify that you are human*
Should be Empty:

Club Officer Contact Form