Title
Your first name
*
Your surname
*
Your email address
*
Your address
Post code
Home phone number
Mobile phone number
Date of birth (if a junior under 18 yrs)
Type of subscription
Full playing
Full student (18-21 yrs)
Full student (under 18 yrs)
Full summer
9 hole
Limited (all year)
Limited summer
Limited school child
Special sub
I intend to pay by
Cheque
EFTPOS (when bar is open)
Cash (in green fee box)
Direct Credit
Proposed by (if applicable)
Name of previous club (if applicable)
Have you resigned from previous club? (if club named above)
Previous club membership ID number (if applicable)
If my membership application is accepted I agree to abide by the rules of the club.
*
I agree
Security Code:
*
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