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Registration is confidential and no information collected on this site will be shared with third parties.

WIGWAM CC MEMBER REGISTRATION

FOR NEW MEMBERS OR PROSPECTIVE MEMBERS applying for membership after July 15, 2009.

(Current members listed on the Roster published on July 15, 2009, go to Member Login and activate your account by completing the CREATE ACCOUNT section.)

Thank you for your interest in the Wigwam Country Club web site. To begin using the member only site, you must register. For the security of our members, and in order to better serve you, please provide the following information. This information is solely for the use of WCC and will not be shared with any third parties for any reason.

After registering, you will be notified of your web site account activation by e-mail. After receiving notification, you will be able to log in to the Wigwam Country Club Member Site and enjoy the benefits of having club information at your fingertips.

WCC Web Site Registration Form

Member First Name:
Member Last Name:
Member Email Address:
Second Email Address:
Requested Username: (6 - 10 characters)
Requested Password:
Retype Password:
Family Members Living at Home: (First Name Only)	Spouse - F: L: Child 1 - F: Child 2 - F: Child 3 - F: Child 4 - F: Child 5 - F:
Address:
City:
State:
Zip:
Phone:	i.e 999-999-9999
Summer Address (Optional):	Address City State Zip Phone
Type of Membership:	Golf ( includes Business Golf, Golf, Jr. Golf & Legacy Golf) Tennis (includes Family Tennis, Single Tennis & Legacy Tennis) Golf/Tennis Golf/Spa Golf/Tennis/Spa Complimentary Golf Recreation (includes Family Recreation, Single Recreation & Legacy Recreation) Social Spa Honorary
I am interested in the following programs:	Junior Golf Junior Tennis Not Interested
I am interested in the above programs for my:	Children Grandchildren Not Interested
I am interested in serving as a board member or on a committee:	Yes No
Age:	20 - 30 31 - 40 41 - 50 51 - 60 61 - 70 71 - 80 81 - Older