E-mail: _________________________________________________
Date of Birth: ___________________________________________
Golf clubs of which you are or have been a member: _____________________________
_________________________________________________________________________
Season ticket number: ___________________ Handicap: _________________
Type of Season Ticket (please circle the type of ticket from the list
below):
1 / 2 / 3 Course 5
/ 7 Day
Membership Category applied for (please circle the type of membership
from the list below):
Ordinary / Senior (65+) / Student (18-25) / Junior
(14-18) / Juvenile (u-14) / Country
Signature: _____________________________
Date: __________________________
Proposer Seconder
Name: _____________________________ Name:
_________________________
Signature: __________________________ Signature:
______________________
Date: _______________________ Date:
______________________