Membership Application Form

MEMBERSHIP CATEGORY	Men & Women	Joining Fee
7 DAY MEMBERSHIP	$793	NIL
6 DAY MEMBERSHIP (Sunday - Friday)	$635	NIL
5 DAY MEMBERSHIP (Monday - Friday)	$580	NIL
INTERMEDIATE MEMBERSHIP (18 Years to 21 Years)	$380	NIL
JUNIOR MEMBERSHIP (12 Years to 17 Years)	$190	-
COUNTRY MEMBERSHIP (Reside 80km + member of another club)	$335	NIL

Please answer ALL applicable questions prior to pressing Submit to ensure your application is considered. Please note that your form WILL NOT be processed until AFTER your fees have been received.

Title
If Other -

First Name

Family Name

Residential Address

Address (cont.)

Suburb

Postcode

Postal Address

['As above' if applicable]

Suburb

Postcode

Date of Birth

dd/mm/yy

Phone

Home

Work

Mobile:

Email Address

Are you a member of another golf club

Yes No

If Yes, please name the club(s) and provide Golflink Number

Is Belmont to be your Home Club

Yes No

Do you have a current or previous handicap

Yes No

What is your last known handicap

N/A if you answered no above.

Approx. Date

Category of Membership for which you are applying:

Method of Payment

Cheque Postal Note/Money Order
Credit Card

Cheques to be made payable to Belmont Golf Club and forwarded to:

Belmont Golf Club,

Post Office Box 8044,

Marks Point NSW 2280

If paying by credit card please phone the office on 4945 4348 to provide verbal verification of details.

Amount of Payment

By submitting this form, you are agreeing to abide by the Constitution and By-Laws of the Club and to pay the annual subscriptions and any other fees and charges as required by the Constitution or By-Laws

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