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SUSSEX INLET GOLF CLUB
ABN 73 073 954 346
CLUB MEMBERSHIP NOMINATION FORM
PLEASE PRINT CLEARLY

I , Mr Mrs Miss Ms ( given names )..............................................................................

( last name )................................................. of ...........................................................

......................................................................p/code....................................................

Mail Address ( if different from above )........................................................................

Email Address ..................................................................................................

Date of Birth.....................Phone : Home............................Mobile..............................

Hereby apply to become a PLAYING / JUNIOR ( circle one ) member of the Sussex Inlet Golf Club Ltd , subject to the Constitution and / or rules and bylaws of the above Club. ( No member under 18yrs can vote at the A.G.M. or participate in Club activities relative to adult Members.e.g. Badge Draw , Liquor promotions .
Name of Golf Club which I ( a ) am a member..........................................................

( b ) was a member............................................................................................

( c ) home Club ........................................................................................................

Last known handicap ...............................................................................................

Have you ever been suspended , expelled or asked to resign from any Club ? YES NO

If so , state Club or Clubs ........................................................................................

Signature of Applicant .....................................................Date ...............................

Proposer ( Print Name ) ..................................................M/Ship No ......................

Seconder ( Print Name )..................................................M/Ship No ......................

.................................................... ........................................................
Signature of Proposer Signature of Seconder
Please present identification (eg. Drivers licence , Medicare card ) with this form.
Payment of appropriate membership fee required on acceptance.
______________________________________________________________________________
CLUB USE ONLY

Receipt No................................Date.............................Amount..............................

Identification : Drivers Licence No................................Other .................................

Accepted / Rejected Committee Meeting Date.............M/Ship No.........................

Reason for rejection ...............................................................................................