Miller Golf Club Membership Form

Existing Member $75

New Member $100

First Name *

Last Name *

Nickname

Phone *

Email *

What is your average score? *

Who referred you to the club?

Member name

Email *

Payment Amount *

Season *

Payment Method *

Memo

When you are paying, on the Memo section, indicate

your name, tournament

or what you are paying for.

Members

Member	Registration Date	Paid	Season
Buentello, Rich	December 14, 2025	$75	2026
Hammer, Dylan	December 11, 2025	$100	2026
De La Cerda, Fernando	December 11, 2025	$100	2026
Schrade, Richard	December 11, 2025	$100	2026
Hawkins, Chris	November 10, 2025	$50	2025
Farmer, Craig	October 5, 2025	$50	2025
Farmer, Craig	October 5, 2025	$50	2025
Swan, Andrew	July 6, 2025	$75	2025
Ivory, Anthony	June 27, 2025	$75	2025
Ivory, Anthony	June 27, 2025	$75	2025
Buentello, Rich	June 15, 2025	$50	2025
Buentello, Rich	June 15, 2025	$50	2025
Strong, John	May 5, 2025	$50	2025