Endorser Form

Applicant’s Name

Applicant's Name

First

Last

Proposer’s Name

Proposer's Name

First

Last

Membership Type Membership Type

How long have you known the applicant?

How well do you know the applicant?

Under which of the following circumstances have you known the applicant?

Remarks

Would you be likely to include the applicant in your golfing activities at the club?

Would you be likely to include the applicant in your social activities at the Club?

Would you be likely to include the applicant in social activities at your home?

On which of the following considerations do you support this applicant for membership?

Business considerations

Personal considerations

A desire to oblige a friend

Expected contributions to the Club’s success

Other

Other Considerations

Would the applicant be an active Club member?

Other information you feel would be of assistance…

Date

Account Number

Digital Signature