MEMBERSHIP ENQUIRY

Please complete the following
Surname		Given Name(s)
Title		Date Of Birth
Membership Type
Address
Postcode
Phone (Hm)		Phone (Wk)
Phone (Mb)		Fax
		Email
Occupation		Employer
Marital Status		Next of Kin

Previous Golf Club Membership held at
Handicap
Members of Melville Glades Golf Club that will support my nomination
Proposer		Seconder
Membership no.		Membership no.

	Please type the text from the image to the left or click here if you cannot read the image.

Acceptance of the application is conditional upon being accepted by the management committee

Please complete the following