New Membership Form
For new memberships, please complete the below form: RANGIORA GOLF CLUB INC P O BOX 121, RANGIORA Phone Secretary 03 313 6666 MEMBERSHIP APPLICATION Surname: . First Name: . Address: .. . Telephone No: . Occupation: . Date of Birth (if under 20 years): E-Mail: . .. . MEMBERSHIP REQUIRED: (Please tick)
GOLFING HISTORY: Do you currently belong to any other Affiliated Golf Club/s: YES / NO If YES a) List Club's: b) Which Club do you wish to be your 'Home' Club?.................................. Have you ever belonged to an Affiliated Golf Club YES / NO If YES a) List Club's: b) Member ID Handicap Index:............................. Privacy Act Personal details such as members' names, addresses and telephone numbers will be included on membership lists which may be displayed at the Clubhouse and/or circulated to other members. I hereby apply for membership of the Rangiora Golf Club and if elected I agree to be bound by the Club Rules. . Signature We nominate the above for membership: .. Proposer .. Seconder FOR OFFICE USE ONLY
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