1. BELVOIR PARK GOLF CLUB Inc.
Reg No. A000 1428D ABN 69 151 756 324
NOMINATION for MEMBERSHIP
I herby make application for admittance to Belvoir Park Golf Club Inc as:
FULL MEMBER: PRACTISE MEMBER: BUSINESS MEMBER:
COUNTRY MEMBER: SOCIAL MEMBER:
JUNIOR MEMBER (12-17 YRS) JUNIOR MEMBER (18-20 YRS)
JUNIOR MEMBER (Full time student 18-20 yrs) FAMILY MEMBERSHIP
(Two forms required)
Mr, Mrs, Miss, Ms (mark appropriately)
Surname………………………………… Given Names……………………………….………………
Date of Birth………………………………. Date of Application:………………………………………
Address…………………………………………………………………………………….………………..
Phone No’s: Home:………………….. Business:………………. ……Mobile:………………….…….
Email address (Remember to be “case sensitive):………………………………….……………………………….
Occupation/or School Attending:………………………………………………… Shirt size:………….
Former Golf Club:………………………….. Golf Link No:……………….. Last Handicap…………
Belvoir Park to be Home Club: Yes/No.
I hereby declare that the above information is correct and I agree, if elected, to comply
with the rules of Belvoir Park Golf Club Inc.
Signature of Applicant:…………………………………………………………
Name of Proposer:……………………………………….. Sign: …………………………………….
Please pint name
Name of Seconder: …………………………….………... Sign:………………………………………
Please print name
MEMBERSHIP FEES TO ACCOMPANY APPLICATION
Do you wish to receive the following via email (please mark boxes yes or no):
Quarterly Newsletter Competition results
BPGC tournament flyers Membership renewals
Junior tournament flyers Golf Vic/Golf Aust Material
Office Use Only. Date Application received: …./…./20…
Subscription Fees Receipt issued
Other Fees Bag tag& sticker issued
Receipt No Program Booklet issued
Golf Link “Tee It Up” issued
Date notified…../…./20…..
Subscription Fees $..................