Greenacres Golf Club

Membership application form

Mr/Mrs/Miss/Ms          First Name	Surname
Address		Ph: (Home)
Occupation		Ph: (Mobile)
Email address	Handicap If known	D.o.B / Age

Please complete the following questions:

1. Do you wish Greenacres Golf Club to be your ‘home club’? Y / N

2. Do you currently belong to any other NZGA or WGNZ affiliated golf club? Y / N

If ‘Yes’, club name please:                               Their club ID number:          Your Golf Ass. Membership number

Class of Membership being applied for ( please circle)	How did you hear about us ( Please circle)
Full Unrestricted playing rights	Web site
Limited Exclusion from Saturday competitions	Newspaper / flyer
Over 70 No Saturday play during the season	Radio
9 Hole Full playing rights on holes 1 - 9	Another member
Junior Not at college to age 23	information centre
Junior beginner Up to and including Intermediate school	Other ( please state)
College student Up to age 18
Part Year 6 months –April to Sept or Oct to March

This form will be used by the Greenacres Golf Club to compile a membership list, to comply with club policy

I hereby consent to my name and address forming part of the membership list and being disclosed in compliance with club policy.


Your full signature:                                                                        date:
                                                                                                                 (ddd / mmm / yyyy )

NOTE: The application process normally takes one week, you are invited to enjoy the facilities during this time and we ask that you
contact the club manager to arrange a Tee time or the Professional for instruction.

This form has been compiled on this program using MS Word and can be either printed or cut and pasted into your own computer.
Once completed you can either email your application direct to the Manager or post to the club. The address details are on the
page "Contact Us"