JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NCGA Credit Request Form
Golfers in question MUST be removed from the club’s active roster before any credit request will be considered.
Example - Regular to Junior? Merely edit the membership type and add a birth date; do not delete.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Club Name
*
Your answer
Club Number
*
Your answer
Club Contact Name
*
Your answer
E-mail
*
Your answer
Phone
*
Your answer
All credits are subject to the approval of the NCGA
1) Golfer Name
*
Your answer
NCGA/GHIN Number
*
Your answer
Date Inactivated
*
MM
/
DD
/
YYYY
Amount Billed
*
Your answer
Reason
*
No longer a member
Wrong billing rate ( Junior w/ D.O.B. vs Regular)
Deceased
Other:
2) Golfer Name
Your answer
NCGA/GHIN Number
Your answer
Date Inactivated
MM
/
DD
/
YYYY
Amount Billed
Your answer
Reason
No longer a member
Wrong billing rate ( Junior w/ D.O.B. vs Regular)
Deceased
Other:
Clear selection
3) Golfer Name
Your answer
NCGA/GHIN Number
Your answer
Date Inactivated
MM
/
DD
/
YYYY
Amount Billed
Your answer
Reason
No longer a member
Wrong billing rate ( Junior w/ D.O.B. vs Regular)
Deceased
Other:
Clear selection
4) Golfer Name
Your answer
NCGA/GHIN Number
Your answer
Date Inactivated
MM
/
DD
/
YYYY
Amount Billed
Your answer
Reason
No longer a member
Wrong billing rate ( Junior w/ D.O.B. vs Regular)
Deceased
Other:
Clear selection
5) Golfer Name
Your answer
NCGA/GHIN Number
Your answer
Date Inactivated
MM
/
DD
/
YYYY
Amount Billed
Your answer
Reason
No longer a member
Wrong billing rate ( Junior w/ D.O.B. vs Regular)
Deceased
Other:
Clear selection
6) Golfer Name
Your answer
NCGA/GHIN Number
Your answer
Date Inactivated
MM
/
DD
/
YYYY
Amount Billed
Your answer
Reason
No longer a member
Wrong billing rate ( Junior w/ D.O.B. vs Regular)
Deceased
Other:
Clear selection
7) Golfer Name
Your answer
NCGA/GHIN Number
Your answer
Date Inactivated
MM
/
DD
/
YYYY
Amount Billed
Your answer
Reason
No longer a member
Wrong billing rate ( Junior w/ D.O.B. vs Regular)
Deceased
Other:
Clear selection
8) Golfer Name
Your answer
NCGA/GHIN Number
Your answer
Date Inactivated
MM
/
DD
/
YYYY
Amount Billed
Your answer
Reason
No longer a member
Wrong billing rate ( Junior w/ D.O.B. vs Regular)
Deceased
Other:
Clear selection
9) Golfer Name
Your answer
NCGA/GHIN Number
Your answer
Date Inactivated
MM
/
DD
/
YYYY
Amount Billed
Your answer
Reason
No longer a member
Wrong billing rate ( Junior w/ D.O.B. vs Regular)
Deceased
Other:
Clear selection
10) Golfer Name
Your answer
NCGA/GHIN Number
Your answer
Date Inactivated
MM
/
DD
/
YYYY
Amount Billed
Your answer
Reason
No longer a member
Wrong billing rate ( Junior w/ D.O.B. vs Regular)
Deceased
Other:
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Northern California Golf Association.
Report Abuse
Forms
