Membership

GEORGES RIVER GOLF CLUB INC 

accounts@georgesrivergolf.com.au 

255 Henry Lawson Drive GEORGES HALL NSW 2198 
Phone: (02) 9724 1615 Fax: (02) 9725 6931 

APPLICATION FOR MEMBERSHIP 
I wish to join Georges River Golf Club and hereby apply to be admitted as a member thereof, and agree to be subject to the Rules and Regulations of the Club. The Committee reserve the right to refuse any application for membership in their absolute discretion without giving any reason(s).

Signature                                                                                                                                              Date

Please note all fields are important and will ensure we are able to better assess the make-up of our membership and effectively target your needs. The ‘date of birth’ is a requirement for all Members. A copy of the Club’s privacy policy is available on request from the office.

PLEASE PRINT CLEARLY

                      (Mr / Mrs / Ms / Miss / Mast / Dr / Other)                                                                                                                                   
First Name                                                                                                                Known as 
        Surname                                                                                                                       Middle Initial 
Home Address                                                                                                                           
Suburb                                                                                                                       Postcode 
Postal Address                                                                                                                          
Suburb                                                                                                     Postcode                   
Telephone:                    Home                                              Business 
Fax                Mobile 
E-Mail                                                                                                       
Occupation                                                                                             
Left/Right Handed                                                                  Date of Birth……../…..…/……..… 
Previous Golf Club                                                                                        Previous Handicap 
Previous Golflink Number                                                               Will we be your Home Club 
Name of Member recommending you to our club                                                                       

                                                             
Emergency Family Contact Information:                             
Name (Print First and Surname)                                                                                                            
Relationship (i.e. Wife, Son, Friend)                                                                                                     
Phone Number (for emergency contact)                                                                                             

OFFICE USE ONLY

7 Day $650.00        Weekday $445.00         Senior $525.00         Junior $150.00 
    Monthly $57.47        Monthly $40.38                         Monthly $47.05                  Monthly $15.80 

Receipt Number                                            Date of Meeting Approved: 
Date Received:                                             Date letter/account Sent: