Membership Application Form

Membership Application

To apply for membership please complete all questions.
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Date
Gender*

MaleFemale
Address*

Street Address

Suburb

City

Post Code
E-mail*
example@example.com
Mobile Number*

PrefixPhone Number
Previous/Current Golf Club
Previous/Current Membership Number
Membership Types*
prevnext( X )
Full Playing Membership
Full playing privileges - able to play in club competitions and represent the club in inter club events

$455.00NZD



Full Playing Junior - Under 19 years
Full playing privileges - Able to play in club competitions and represent the club in inter club events.

$140.00NZD



Full Playing Student - 19-25 years old
Full playing privileges - Able to play in club competitions and represent the club in inter club events. Must be a FT student in recognised tertiary education

$230.00NZD



Secondary
Must be a Full Playing member of another NZ Golf Club. Entitled to Full Playing privileges, but not eligible to play in the club competitions (cups and trophies)

$300.00NZD



Provisional - 3 months
Option for those adults new to golf. May play/practice on the course outside of schedules competition days and times. Cannot submit scorecards or play in competitions

$150.00NZD



Social Member - Non Playing
Access to the club house and its facilities

$20.00NZD
Please note the cost of memberships above are based on payment in full. Full Playing memberships may be paid in installments, but an administration fee will apply. Pro Rata fees may apply for some membership catergories.

If you wish to pay in installments please indicate in the additional information box below.

Payments can be made into account no 15-3944-0159186-00 please use your Surname and Intitials as a reference.
Please provide additional information or any questions here
Emergency Contact - *
Phone Number*

Area CodePhone Number
Date of Signature*

DayMonthYear
Date
Signature*

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