NWIGCSA Registration

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NWIGCSA Registration for 2012

Dues are $65.00 if paid by March 1, 2012. A 50% discount for assistants whose Superintendents are members.

Dues are $85.00 after March 1, 2012.
Please use this online form if you are paying by credit card or check. You will be directed to the online payment page after you submit this form.

Thank you for supporting the NWIGCSA.

Member Information

Fill in the information below for membership registration.

* First Name

* Last Name

* Club/Business Name

* Address 2

* City

* State

* Postal Code

* Work Phone

Cell Phone

Fax Number

* Email Address

If registering your Assistant Supt.
First Name

Last Name

Alternative mailing address. All Mailing will go to Club/Business, unless specified below.

Membership Type

A Superintendent (more than 3 years and fulfilling needed credits)

B Superintendent Member (less than 3 years or not fulfilling credits)

C Assistant Superintendent

D Golf Course Owner

E Distributor/Vendor

F Honorary

Are you certified?

Yes

No

What is your GCSAA Membership number.

Would you be interested in serving on one of the following NWIGCSA standing committees? Mark any that you would serve on.

* How would you like to receive your copy of The Turfgrass Times?

U.S. Mail

E-Mail link to PDF file to download.

* Indicates Response Required