Online Membership Application

Please complete the following
Title		Surname
Initials		Given Name(s)
Preferred Name		Date Of Birth
Address
Suburb		Postcode
Phone (Hm)		Phone (Wk)
Phone (Mb)		Fax
Email
Occupation		Employer
Work Address

Permanent Resident of Bunbury?	Yes No
Pensioner?	Yes
Next of Kin		Relationship
Next of Kin Phone

Membership Type
If the nominated category is closed, do you wish to enter a lesser category until vacancies become available?			No Yes
Details of other sporting and social club membership past and present

Golf Experience
Handicap		Golf Link No.
Home Club
Have you ever been refused membership at any other club?			No Yes
Members of Bunbury Golf Club that will support my nomination
Proposer		Seconder
Period known		Period known
Name and Contacts of 3 Referees:
1. Name:		Phone:
2. Name:		Phone:
3. Name:		Phone:
How did you find out About Bunbury Golf Club?
Please Select

I hereby agree that, if elected, to abided by the Rules and By-Laws of the club
		Please type the text from the image to the left or click here if you cannot read the image.


Acceptance of the application is conditional upon being accepted by the management committee

Please complete the following