Friends of Miller Membership Form

MILLER MEMORIAL GOLF COURSE
FRIENDS OF MILLER - MSU FACULTY & STAFF MEMBERSHIP FORM

NAME ________________________________________________________________

FAMILY MEMBER(S) NAME IF APPLICABLE ____________________________________

___________________________________________________________________________

ADDRESS __________________________________________________________

___________________________________________________________________

PHONE _____________________________________________________________

EMAIL _____________________________________________________________

Membership (includes $50 credit)
Single		$ 400
Single +1 family member *		$ 500
Family *		$ 600

Membership with Unlimited Cart Use (includes $100 credit)
Single		$ 1,300
Single + 1 family member *		$ 1,600
Family *		$ 1,900

*Please note that a family member must be a spouse or child under 18.

Complete & return this form with your check payable to:

Miller Memorial Golf Course
2814 Pottertown Rd.
Murray, KY 42071
Call 270-809-2238 if you have any questions.