September 2021 Dear PGA TOUR Player

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September 2021Dear PGA TOUR PlayerCongratulations on achieving a goal that so many pursue but only a relative fewrealize --- qualifying for the PGA TOUR !Your accomplishment allows you to compete against the game’s best players whilerepresenting our sport on the world stage.As you may know the PGA of America conducts the PGA Championship and RyderCup. Yet our lifeblood remains our PGA Professional, who are dedicated to growingthe game and advancing the golf profession.As a member of the PGA TOUR you have the opportunity to join our ranks as a TourPlayer (A-3) classification that gives you access to many of the benefits enjoyed byPGA Members. These benefits include liability insurance, which covers you any timeyou are practicing or competing in a tournament, as well as financial planning thatcan help secure you and your family’s future. To join our Association and experiencethese and many more benefits immediately, simply fill out the enclosed applicationIf you have any questions about PGA of America Membership and the benefits youreceive by joining, please call PGA Membership Services at (800) 474-2776.We wish you great success on the PGA TOUR and are hoping to see you at our PGAChampionship in May at Southern Hills.Sincerely,Jim Richerson, PGAPresidentPGA of America

Page 1 of 2For Office Use OnlyMember Number:Section Name:Section Approval: YesNoTour :TOURNAMENT PLAYER APPLICATION FORPGA MEMBERSHIPMembership Services DepartmentP O Box 109601Palm Beach Gardens, FL 33410-9601membershipapps@pgahq.comPhone (800) 474-2776 * Fax (561) 624-8439Date Elected:PERSONAL INFORMATIONApplicant Name:FirstMiddleLastInformal Name:FirstMiddleLastPermanent ResidenceAddressStreetApt. No.CityStateZipMailing Address ifdifferentStreetApt. No.CityStateZipE-Mail Address:Home Phone #: ( )Area CodeMobile Phone #: ( )Area CodeName & Address ofManagement Firm:Name of Contact Personat Management Firm:Street or PO BoxCityStateZipManagement Firm's #: ( )Area CodeSend mail to:Permission is given to update my PGA Credit Union records to reflect current address, phone, etc HomeYesManagement FirmNoSocial Security #: / / Date of Birth: / /MMPlace of Birth:DDYYYYCitizen of the U.S.?YesNoDid you become a U.S. Citizen by Immigration ProcessResident AlienYesNoIf yes, Age you became a U.S. Citizen?YesNoEDUCATIONHigh School Graduate:Yes YearCollege Degree:2 Year4 YearGED:Yes YearUniversity & Location:Init. 09/04/2019 Rev 08/2021

Page 2 of 2Gender and Race: This information will be used for statistical information only. Indication of gender and raceis STRICTLY VOLUNTARY. All responses will be confidential.African AmericanAmerican Indian, Aleut, EskimoAsian or Pacific IslanderCaucasianHispanic or LatinoMulti-racial/EthnicFemaleMaleOtherPrevious Tour ExperienceHave you previously been a member of the PGA Tour or LPGA Tour?YesNoIf yes, specifically which Tour(s)?Year(s):Give date previous PGA Tour membership was terminatedHave you previously been registered in The PGA Professional Golf Management Program?YesNo Year(s):Life Insurance Beneficiary InformationLIFE INSURANCE BENEFICIARY: Designate the beneficiary for your Life Insurance policy.A) Name:Beneficiary's Full Legal NameRelationshipAddress:Street/POCityStateZipB) Name:Beneficiary's Full Legal NameRelationshipAddress:Street/POCityLast / 4 digits /StateZipLast / 4 digits /Social Security # of Beneficiary (A)Social Security # of Beneficiary (B)NOTE: If beneficiary information changes at any time while you are a PGA Member, complete the beneficiary change form and submit to Membership Services at theNational Office.PGA.ORGAll PGA Professionals will be added to a PGA.com and PGA.org directory unless the exclusion box below is checked:I do not want my name listed in the PGA.com or PGA.org directory.In order for PGA Professionals to access their records, all members and apprentices are listed in a separate directory on PGA.org,which is accessible by PGA members and apprentices only.SPOUSE/PARTNER CARDAs a member, you are eligible to request an identification card for your spouse/partner. If you wish to receive this card, pleasecomplete the following:Please indicate name to be imprinted on cardIMPORTANTAll applicants are urged to be factual, as falsification of information could result in disciplinary action against any member orapprentice applicant who completes or verifies this form. Please sign and date below.I agree to abide by all present and future rules and regulations of the Association and the Section with which I may be affiliated.Applicant’s SignatureDateInit. 09/04/2019 Rev 08/2021

INSURANCEThe Association provides all Members and Associates with term life insurance. Theannual premium is one of the components of the dues invoice. The schedule of benefitsis based on the age of death.LIFE INSURANCEAMOUNTAGE OF DEATH 14,000Under 35 7,500.0035 to 49 5,000.0050 and overLIABILITY INSURANCELiability insurance provides Members and Associates with protection for bodily injury orproperty damage to third parties as a result of playing, teaching or officiating the gameof golf. The annual premium is one of the components of the dues invoice. Refer to theForms Library on the website www.PGA.org for the specific terms of coverage.MEMBER ASSISTANCE PROGRAM (MAP)New Benefits is the Member Assistance Program (MAP) which provides members andassociates with confidential, professional counseling for a wide variety of personal andwork-related concerns. Learn more and access the MAP Program on www.PGA.org;Resources, Member Benefits, Member Assistacne, Member Assistance Program.TOURNAMENT ELIGIBILITYPGA Members should contact the PGA of America for eligibility rules for PGA ClubProfessional events by contacting Mr. Tom Brawley, Senior Director, MembershipServices at (561) 624-8550.DropBox T:\member\Procedures\CCMS Procedures\Q School Procedures/Life Liab Tourn Eligibility MAP (A-3) INFO.DOCRev

Section Name: _ . All PGA Professionals will be added to a PGA.com and PGA.org directory unless the exclusion box below is checked: I do not want my name listed in the PGA.com or PGA.org directory. . Colorado 75.00 197.00 Connecticut 75.00 197.00 Gateway 75.00 197.00

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