PAST DUES - Become a Golf Instructor and PGA Teaching Professional

Member Name

First

Last

Membership Number

Email

Cell Phone

Date of birth

Current Handicap

Member Mailing Address

City

State/Province/Region

Zip Postal Code

Country

2025 Membership Renewal $100.00 Choose Quantity

Is your membership expired? If your license expired within the last 4 years, you currently have the option to reinstate below. (copy)

2024-2025 (2 years) - $500.00
2023-2025 (3 years) - $750.00
2022-2025 (4 years or more) - $1000.00

Need Replacements?

Duplicate Certificate - Free
Membership Card - $30.00

Please choose shipping method:

USPS First Class Mail - Free
UPS - Domestic Standard with tracking - $30.00
UPS - International Standard with tracking – FedEx $100- $150 depending on service type desired

Supported Credit Cards: American Express, Discover, MasterCard, Visa – PLEASE USE TEH PAYMENT OPTIONS BELOW AS WE DO NOT WANT TO KEEP YOUR CREDIT CARD ON FILE. IF YOUR PREFERENCE IS TO KEEP IT ON FILE PLEASE FILL OUT THE CC FORM BELOW.

PayPal add $3.50 send it to (drlotz@cbsgolf.net)
Zelle send it to (760-574-7676)
Wire – call office (760-335-0600)

Cardholder Name

Card Number

Expiration Date

Security Code

If Email WANT

Billing Address (If different from above)

City (cc)

State/Province (cc)

Zip Postal Code (cc)

Country (cc)

Comments or Questions

Past Dues Form