Southwest Amputee Golf Association

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SWAGA

Southwest Amputee Golf Association

Regular memberships are open to any amputee who has anatomically lost a hand or foot
at a major joint ... wrist/elbow/shoulder/ankle/knee/hip.

Associate membership is available to non-amputee physically handicapped individuals and
supporting members are non-amputee / handicapped players (guests).

To join, simply fill in the following requested information.

Date: ______________
Name:
First _______________________________ MI ______ Last ___________________________________
Spouse's Name: First _______________________________ MI ______ Last ___________________________________
Address: _______________________________________________________
City, State, Zip: ______________________________________________________________________
Phone Home: ( ____ ) __________________
            Work: ( ____ ) __________________

**** E-Mail: ___________________________________________________
Type of Amputation: ___________________________________________
Disabled Veteran? Yes _____ No _____
Date of Birth: ________________________ (for flighting purposes)
SWAGA Annual Dues (Regular Member):     $10.00 _______
Associate Member:      $10.00  ______
Supporting Member:    $10.00 _______


Make check payable to SWAGA.

Please return this form to:

SWAGA
ATTN: Roy McCoy
6813 Westover Drive
Granbury, TX 76049

Call (512) 431-2861 for more information.

SWAGA Membership Application PDF