Membership Application - Keysborough Golf Club

Personal Details

Title*

Name*

First Last

Preferred Name

Preferred

Date of Birth*

Address*

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

Phone (Home)

Phone (Mobile)

Phone (Work)

Email*

Occupation

Employer

First Last

Relationship to Next of Kin

Next of Kin Phone

Membership*

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

Details of other sporting and social club membership past and present

Golf Experience

Handicap*

Golf Link Number*

Home Club for Golflink Number*

Each person can only have 1 active Golflink profile at a time, and it must be associated to a club you are financial with

Have you ever been refused membership at any other club?*

How did you find out about Keysborough?*

I hereby agree that, if elected, to abide by the rules and by-laws as laid down in the Memorandum and Articles of Association in force at present, or may be decreed in future by the Committee of Management.

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Phone

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