Observatory Golf Club Application for Membership

Observatory Golf Club Application for Membership
Name

First NameLast Name
Initials
Title
Postal Address

Street Address

Street Address Line 2

CityProvince

Postal Code
Date of Birth (yy/mm/dd)
Age
ID Number
Tel Number Home

Area CodePhone Number
Tel Number Work

Area CodePhone Number
Cellphone

Area CodePhone Number
E-mail address
Previous Golf Club (If applicable)
Membership Type
Monthly debit order (not applicable to Full member - Junior and Handicap memership categories)
Amount (Rands) to be debited monthly
All memberships include affiliation costs

Junior, student and handicap members can add the PMG Lite option for an additional R400

Only Full membership (36-65 years) includes PMG Lite
I, the above named, hereby apply to join Obs Golf Club (Pty) Ltd, Johannesburg. I undertake to abide by all the rules and bylaws of the Club as laid down from time to time. I fully understand and agree to the terms and conditions of this membership. I confirm that should I wish to resign, I will notify the club within one (1) full calendar month in writing and failure to do so will result in my being liable for the full year's subscription. If a membership is ultimately cancelled, no refund of the year's fees will be made.
Date signed

DayMonthYear
Date
Initials and surname
Should be Empty: