Membership Application Form

I wish to apply for membership of Te Marua Golf Club Inc.

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Title

First Names

Surname

Preferred First Name

Address

Phone (Home)

Phone (Work)

Phone (Mobile)

Email

Occupation

Date of Birth

Previous Golf Club (if any)

Previous Handicap ID Number (if any)

Class of Membership

Emergency Contact; name & contact Number

If elected I agree to abide by the Rules of the Club. I agree that I must report to the Shop before commencing play. If payment is by regular monthly Bank Authority I agree to pay the Full Annual Subscription.

Account Number for Payment is; Te Marua Golf Club

02 0772 0009144 00