Ph: (02) 4441 2259 Fax: (02) 4441 2218
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| 7 Golfcourse Way, Sussex Inlet NSW 2540 Ph: (02) 4441 2259 Fax: (02) 4441 2218 |
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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 )..................................................................
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..........................................................................................
