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Greenside APR 2015 Low Res

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GCSAI Membership Form <strong>2015</strong><br />

To be returned to:<br />

ALAN MAHON<br />

GCSAI<br />

RATHJARNEY, PIERCESTOWN, CO. WEXFORD<br />

Tel/Fax: (00353) 53 9158606 Mobile: (00353) 87 6260889<br />

E-mail: alan@gcsai.org Website: www.gcsai.org<br />

PLEASE PRINT IN CAPITAL LETTERS<br />

Name: ...................................................................................................................................................................................................................................................<br />

Home Address: ...............................................................................................................................................................................................................................<br />

Home Tel Number: ................................................................................................... Work: .......................................................................................................<br />

Mobile Tel Number: ..................................................................................................................................... (Member info now sent by text message)<br />

Email Address: .................................................................................................................................................................................................................................<br />

Golf Club: ............................................................................................................................................................................................................................................<br />

(If you are a retired member you must give the name of the golf club you last worked at and the dates)<br />

New/Existing Number (delete as applicable) Membership Number: ........................................................................................................................<br />

Region: .................................................................................................................................................................................................... (see below for details)<br />

Position: ..................................................................................................................................... Amount Enclosed: ................................................................<br />

Membership Rates<br />

Superintendent €98.00<br />

Deputy Superintendent €80.00<br />

Greenkeeper €70.00<br />

Apprentice / Student €60.00<br />

Retired €60.00<br />

Groundsman €80.00<br />

Associate €80.00<br />

Signature of Secretary Manager or Superintendent: ...................................................................................................................................................<br />

Stamp of Golf Club: ........................................................................................................................................................................................................................<br />

I hereby apply for membership of the GCSAI and agree to abide by the Constitution and Code of Ethics of the Association.<br />

Signature: ..................................................................................................................................... Date: ......................................................................................<br />

REGIONS: NW Donegal, Sligo, Mayo, Roscommon, Leitrim, Galway<br />

SW Cork, Kerry, Waterford, Tipperary, Limerick, Clare<br />

NE Dublin, Meath, Westmeath, Cavan, Monaghan, Louth, Longford, N. Ireland<br />

SE Kildare, Wicklow, Laois, Carlow, Kilkenny, Wexford, Offaly<br />

For generous club discounts for 3 or more staff joining please contact Alan Mahon

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