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Use this form to apply for your 2017 AGA rebate. If you have any questions, please contact Betty Saltzgiver at b.saltzgiver@azgolf.org, or 602-944-3035. All 2016 rebates will be issued on or about July 1, 2017. Joins after July 1 do not qualify for rebates.

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1. First name:

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2. Last name:

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3. GHIN Number

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4. Address

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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5. I have paid AGA dues to the following ARIZONA clubs.

Club #1

Club #2

Club #3

Club #4