1. Title  
   Mr Mrs Ms
2. Your first name *
3. Your surname *
4. Your email address  
5. Your address  
6. Post code  
7. Home phone number  
8. Mobile phone number  
9. Date of birth (if a junior under 18 yrs)  
10. 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 (ring Charlie)
11. I intend to pay by:  
    Cheque EFTPOS (when bar is open) Cash (in green fee box) Direct Credit
12. Proposed by (if applicable)  
13. Name of previous club (if applicable)  
14. Have you resigned from previous club? (if club named above)  
15. Previous club membership ID number (if applicable)  
16. If my membership application is accepted I agree to abide by the rules of the club. *
    I agree
    
18.  
    Please check the required fields

    

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