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 MEMBERSHIP PROPOSAL FORM           COLEBROOK GOLF CLUB Inc.

ABN 63 829 751 370                                                       P.O. Box 39

                                                                                    CAMPANIA

Website: www.colebrookgolfclub.org.au                TASMANIA 7026

Email:    colebrookgolfclub@bigpond.com            PH. ( 03) 62604402

 

 

NAME OF CANDIDATE        …………………………………………………………………

 

ADDRESS                                    ………………………………………………………………….

 

                                                            ………………………………………POSTCODE…………….…

PHONE NUMBERS

         

HOME………………………….BUSINESS……………………..MOBILE……………………….

 

 

PROPOSER………………………………………………SIGNATURE……………………………………

                                              PRINT WHOLE  NAME

 

 

SECONDER……………………………………………… SIGNATURE……………………………………

                                    PRINT WHOLE  NAME

 

TYPE OF MEMBERSHIP PROPOSED                                                                    ANNUAL SUBSCRIPTION

                                                                                                                                ( Inc G.S.T. & FEES TO ASSOCIATIONS)

FULL                                     (      )                                                                                     $350.00

ASSOCIATE                        (      )                                                                                     $250.00

JUNIOR  ( over 18 )            (      ) D.O.B…………………….                                          $250.00

JUNIOR  ( under 18 )          (      ) D.O.B…………….………                                         $  nil

SOCIAL                                (      )                                                                                         $15.00

 

PREVIOUS MEMBERSHIP INFORMATION

Have you been a member of this club or another club                               YES    or    NO

If yes, NAME of club …………………………………………………..

Do you, or have you ever held an Australian or Public Course Handicap               YES    or    NO

If yes, state last Handicap and where from                                           Handicap………….Club…………………………

 

Previous Golf Link No. (if applicable)         ………………………….

I wish Colebrook Golf Club to be my nominated Home Club   YES / NO

 

DECLARATION  I ………………………….hereby declare all the above information to be true & correct, and if my nomination is accepted, do hereby agree to abide by the rules and the Constitution of the Colebrook Golf Club Inc.

                                              SIGNED……………………………

 

                                           DATE     ………………………….

NOTE  that this will not be considered unless all of the above sections have been completed.

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OFFICE USE ONLY       NOMINATION RECIEPT No.                                 ………………………

 

NOMINATION ACCEPTED…………...                      Date…………………

 

                                                SUBSCRIPTION RECEIPT No.                                    ………………………

 

 

Proposal