Miller Golf Club Membership Form

Existing Member $50

New Member $75

First Name *

Last Name *

Nickname

Address *

City *

State *

Zip *

Phone *

Email *

What is your average score? *

Who referred you to the club?

Member name

Payment Amount *

Payment Method *

Memo

When you are paying, on the Memo section, indicate

your name, tournament

or what you are paying for.

When you are paying, on the Memo section, indicate

your name, tournament

or what you are paying for.

Current pot is...

$5150

Check your profile to see if you are signed up!!