Membership Application

The club's membership is currently open to men, women and junior golfers. Corporate memberships are also available which provide significant benefits for organisations to use the clubs amenities for promotional purposes.

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

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 NZGolf No.
Home Club    
Have you ever been refused membership at any other club? No Yes
Members of Paraparaumu Beach Golf Club that will support my nomination
Proposer Seconder
Period known Period known
How did you find out About Paraparaumu Beach 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
top of the page