Mr
Mrs .........................................................................................................................................
Miss               (NAME IN FULL - PLEASE PRINT)
Ms

Address : ....................................................................................................................

Post Code : ........................ Tel. Private : ......................................................................

Business : ........................................... Mobile : .......................................................

Email Address:  ......................................................

is hereby nominated as a:

Please Circle Category Required

* FULL PLAYING * JUNIOR HANDICAP * 6 DAY * INTERMEDIATE * SOCIAL * NON HANDICAP * ANGELS 100

See " Categories " link for Explanation of Categories. Click here.

Profession or Occupation : ........................ Date of Birth : ................................................

Name of GOLF CLUB(S) of which you are or have been a member

...........................................................

...........................................................

Years/Months :..................................... Handicap :................
(If current please supply copy of details)

PROPOSER                                            SECONDER

........................ Mem. No : ................. ........................................Mem. No.....................

I hereby agree that if admitted as a member of the Toukley Golf Club Limited, I will be bound by the Memorandum and Articles of Association of the Club. The Australian Golf Union (AGU) requires the information requested above for the purposes of GOLF Link. Your personal information will only be used in accordance with the GOLF Link "Activity" and to provide you with GOLF Link services. If the requested information is not provided to the AGU you may not be able to obtain GOLF Link services including an official Australian handicap. Should you wish you will be able to access your personal information through' the AGU upon reasonable notice.

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


INTERMEDIATE MEMBER ONLY

Place of Studies : ........................................................... Student I.D. sighted : YES / NO

JUNIOR MEMBERS ONLY

I hereby consent to the above applicant becoming a Junior Member of Toukley Golf Club.

Parent or Guardian Signature : ................................................. Date : .........................

Applications must be lodged in person with an authorised club officer. Proof of age is requested for all junior members.

Proof of Age/Identity used : ............................................................

Signed by Authorised Officer : .........................................................

OFFICE USE ONLY :
Date Elected : ........................ Date Paid : ................................

Receipt No : ........................... Membership No : ........................

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