Application form - Judgeford (STAGE) Golf Club

Membership

Members Login

Membership Number:

Password:

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Application Form

First Name

Last Name

Are you Male or Female?

Street Address

City

Home Phone Number

Post Code

Work Phone Number

Fax Number

Mobile Phone Number

Email Address

Date of Birth

Are you currently a member or have you ever been a member of a Golf NZ affiliated golf club? Yes

Your occupation

Introduced By (Member):

Are you a New Zealand Citizen?

YesNo

Membership Type Requested

Privacy Statement

The information collected in this form will be used in accordance with the principles of the Privacy Act of 1993. The information will not be used for any other purpose than for a lawful purpose connected to the Club. By submitting this form, you acknowledge your rights to view and amend the information.