PBMGA Membership Application Form

Application Instructions

You can submit your application by either E-mail or regular mail.

E-mail
1. Complete the application form (below) and use your browser print function to print a copy for your records then use the ‘Send’ button.

 Regular Mail:
1. Complete the application form (below) and use your browser print function to print a copy.
2. Mail the form  with a check for $35 payable to Pompano Beach Men’s Golf Association to:
PBMGA Treasurer
Tom Pawelczyk
4501 Mimosa Ter.
#1403
Coconut Creek, FL 33073-3538

At least one week prior to the first Wednesday you want to play, call (954-579-8766) or email (yoshiinc@att.net) Deborah Brown, the Weekly Tournament Coordinator, to establish a T-time.

If you submitted your application on-line, be sure to bring a check for $35 made out to Pompano Beach Men’s Golf Association on your first day of play.

If you have any question, please use the Contact Us  form on this web site.



PBMGA Membership Application Form
Your Name: *
Your Email: *  
Confirm Email: *  
Home Phone Number: *
Cell Phone Number
Birthdate: *  (mm/dd/yyyyy)
Florida Address:  
Street: 
Unit #:
*
City:  *
State: 
Zip:
*     *
      
USGA Index:       OR
Best 3 scores in the last 12 months (18 holes):       and
Average Score Last 12 Months 
T-box usually used:
Today's Date:  (mm/dd/yyyyy)
Questions:
    * Required Field