Membership Application

PERSONAL DETAILS
Please fill out all the required details.

Name

Phone

Gender

Date of Birth

Occupation

Residential Address

Suburb / Postal Code

Membership Category

Emergency Contact Name and Number

APPLICANT'S HISTORY
Please fill out this section if you are applying for a golf membership.

Home Club

Golflink Number

Current Handicap

Previous Handicap

Were you referred to Northbridge by a member?

Ever suspended, refused or expelled from another sporting club?

Message

Would you like to receive the annual report?

DECLARATION

I hereby apply for membership of Northbridge Golf Club Limited, and if elected, I agree to be bound by all the provisions of the club’s constitution and I further request that my name be placed on the register or members in the appropriate category.