Online Application

Type of Membership*

Golfing Membership

Name*

Title First Last Preferred Name

Date of Birth*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone (Home)*

Phone (Mobile)

Email*

Occupation

Employer

Membership Category*

Membership Options*

Emergency Contact Name*

Relationship

Phone

(Membership is subject to approval by the Board of Directors)

If the nominated category is closed, do you wish to enter a lesser category until vacancies become available?*

Yes
No

IIMPORTANT INFORMATION:

Are you or have you been a member of another Golf Club?*

Yes
No

What is your current Golf Link No?

Do you wish to make Woolooware your home club?*

Yes
No

Please name other clubs of which you are a member

Have you ever been cited, suspended or asked to resign from any club?

Yes
No

Please state the club(s)

Details of other sporting and social club membership past and present:

Proposer Details

Name

First Last

Membership Number

Period of Acquaintance

Seconder Details

Name

First Last

Membership Number

Period of Acquaintance

Terms & Conditions*

I hereby agree that, if elected, to abide by the Rules and By-Laws of the club

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(Membership is subject to approval by the Board of Directors)

Proposer Details

Seconder Details