Portlaoise Golf Membership

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Email*

example@example.com

Date of birth *

MonthDayYear

New membership5Day memberStudent memberJuvenile member

If your a student please upload your student id

YesNO

If you answered yes what was your handicap?*

SIGNATURE OF APPLICANT*

Date*

Date

My Products

Full Member

€520.00

Husand & Wife

€950.00

New Member

For anyone who has not been a member of Portlaoise Golf Club in the past 3 years

€425.00

Country Membership

Must be a member of another affiliated club

€250.00

Student Member

(18–25 years of age) in full time 3rd level educationand not in receipt of remuneration.

€154.00

5 Day Member

This is a Monday to Friday membership only and the applicant must reside more than 50 km from the course

€275.00

Juvenile Member

Applicant must be under 18

€105.00

Total

€0.00

TERMS & CONDITIONS