Membership Application Form

Membership Application Form

Flexible
Personal Details

Tell us a little bit about yourself. This information is stored securely on our systems and only authorised personnel can view it.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Date of Birth*

MonthDayYear
E-mail*
Please enter a valid email address
Phone Number*
Please enter a valid phone number
Your Membership

Let us know if you have a handicap and how you would like to pay for your membership. If you choose to pay by direct debit, please remember to complete a direct debit mandate by clicking the link below.
Have you been a member of another club?*

YesNo
If yes, which one?
CDH Number:
Only applicable if you have a handicap index.
How would you like to pay?*

In advance - Credit/Debit CardIn advance - CashIn advance - BACSMonthly Direct Debit
Paying by Direct Debit

If you wish to pay for your membership by monthly direct debit, please click here. Please note we cannot proceed with your application without a completed direct debit mandate.

Paying by Credit/Debit Card, Cash or BACS

If you wish to pay for your membership in advance by either credit/debit card, cash or BACS, a member of our team will be in touch.
When would you like your membership to start?*

MonthDayYear
If you join mid-month, a pro-rata charge for the remaining days will be added to your first Direct Debit payment.
Terms & Conditions of Membership

Please take a few minutes to read our terms and conditions of membership. Your acceptance is necessary in order to advance your application.
Signature

Powered by Jotform SignClear
Should be Empty:

Membership Application Form

Personal Details

Your Membership

Terms & Conditions of Membership