Numurkah Golf & Bowls Club Inc
Application for Membership
(Please print)
Please post payment with application

To the Committee of Management of the Numurkah Golf & Bowls Club Inc.

I, ……………………………………………………………………………………………………
(Full name) (Mr. Mrs. Miss Ms)

Residential Address                    ………………………………………………………………….
(do not use RMB No.
or PO Box)                                    ………………………………………………………………….

Postal Address                           …………………………………………………………………..

                                                       ………………………………………………………………….
                                                                                                                                          (Postcode)
Phone numbers                         (…….)……………………             (……..)……………
                                                     Home                                              Business

Occupation ……………………………………                                Date of Birth ……/.…./……

desire to become a member of the Numurkah Golf & Bowls Club Inc and request you to enter my name in the Register of Members accordingly. I agree to be bound by the Rules and By-laws of the Club.

Dated this …………………………………… day of………………………………… …….

Signed ………………………………………..

Class of membership applied for :- (Please Circle)

10 year ordinary

Non-playing (social)

5 year ordinary

Country (outside 30 km radius)

3 year ordinary

Junior (under 18 years)

1 year ordinary

Restricted Golf

Bowls only

Student (21yrs & under)

Clubhouse proposer not required


Proposed by………………………………………………………….. ….……………...
                      (Print name & Membership no.)                                      (Sign)

Seconded by…………………………………………………………. …..……………..
                      (Print name & Membership no.)                                      (Sign)

 

If membership is held at any other Golf Club(s) please state the name(s)

………………………………………………………………………………………………………

OFFICE USE ONLY

RECEIPT NO. ……………………………..    MEMBERSHIP NO. ……………….

                          RECEIVED …………………………….          EXHIBITED     .....………………….

                          MEETING …………………………….             DECISION        ....………………….