Application for Membership

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

Title(required)

First Names(required)

Surname(required)

Preferred First Name

Address(required)

Phone (Home)(required)

Phone (Work)

Phone (Mobile)

Email

Occupation

Date of Birth(required)

Previous Golf Club (if any)

Previous Handicap ID Number (if any)

Class of Membership(required)

Couple? If partner is a member, please state their name

If elected I agree to abide by the Rules of the Club. If elected as a 9 Hole Member, I also agree that I must report to the Pro Shop before commencing play, that I may only play the holes designated for 9 Hole Members on the day of play and that I may not play more than 9 holes on any one day under any circumstances whatsoever and that this includes that I may not pay a green fee to play extra holes. If payment is by Bank Authority I agree to pay the Full Annual Subscription.(required)

Account Number for Payment is;

02 0772 0009144 00