ORLGA
Member Registration
Instructions:

To register as a member of ORLGA, just complete the form below and click "Submit".
Required entries are marked with a red star.
The "Reset" button will clear the entire form if necessary.
You will receive email confirmation of your registration.
First Name *
Last Name *
Home Phone Number *
E-mail Address: *
Street Address *
Street Address(2)
City *
State *
Postal Code *
Month of Birth
Day of Birth
Annual Dues ($20.00) *
Hole-In-One insurance? $5.00 *
Ringers Competition? $5.00 - Must sign up by Feb. 1 of current year *
Current USGA Handicap if known
Comments or Questions
* RequiredContact form by myContactForm.com