Contact us
7 Golfcourse Way,
Sussex Inlet NSW 2540
Ph: (02) 4441 2259
email:
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 ...............................................................................................