APPLICATION FOR SIX MONTHS MEMBERSHIP

OCTOBER TO MARCH ONLY

First Name *

Last Name *

Residential Address

Postal Address:

Email *

Phone *

Date of birth

Occupation

Employer

New Member plays (right or left handed)

Left
Right

Emergency Family Contact *

Emergency phone number *

Emergency Contact Relationship

Nomination: We, the undersigned members of the Griffith Golf Club, respectively nominate and second the application for membership.

Nominator *

Seconder *

Annual Financial Report of the Club is available on the Griffith Golf Club Website.

Payment *

6 Month Membership

• October to March Summer Membership

AU$180

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.