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Please copy this form into a word processor MEMBERSHIP PROPOSAL FORM COLEBROOK GOLF CLUB Inc.ABN 63 829 751 370 P.O. Box 39CAMPANIAWebsite: 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 SIGNATUREPRINT WHOLE NAME
TYPE OF MEMBERSHIP PROPOSED ANNUAL SUBSCRIPTION ( Inc G.S.T. & FEES TO ASSOCIATIONS) FULL ( ) $350.00ASSOCIATE ( ) $250.00 JUNIOR ( over 18 ) ( ) D.O.B . $250.00 JUNIOR ( under 18 ) ( ) D.O.B . $ nil SOCIAL ( ) $15.00
PREVIOUS MEMBERSHIP INFORMATIONHave 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. --------------------------------------------------------------------------------------------------------------------------------- OFFICE USE ONLY NOMINATION RECIEPT No.
NOMINATION ACCEPTED ... Date
SUBSCRIPTION RECEIPT No.
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