Name: Six Day Member
Price: 515.00 AUD
Availability: InStock

The following discount will apply to pro-rata the membership payment for the rest of the year

Price: $ 0.00

Product Name

Total

$ 0.00

Application for Membership

I wish to join Duntryleague and hereby apply to be admitted as a member, and agree to be subject to the Rules and Regulations of the Club. The Board reserve the right to refuse any application for membership in their absolute discretion without giving any reason(s).

Name*

Prefix First Last Known As

Home Address*

Street Address Address Line 2 City State Postcode Country

Is Postal Address same as Home Address?*

Yes
No

Postal Address

Street Address Address Line 2 City State Postcode Country

Home Phone*

Mobile Phone*

Business Phone

Email*

Date of Birth*

Occupation

Have you previously been a member of a golf club?*

Yes
No

Previous Golf Club*

Previous Handicap*

Previous Golf Link Number*

I play golf

Left Handed
Right Handed

Will Duntryleague be your home club?*

Yes
No

Emergency contact name*

First Last

Emergency Contact Relationship to you*

Emergency Contact Phone Number*

Membership Agreement at Duntryleague

Any member that wishes to join Duntryleague MUST complete this form. I agree that by signing this form

I understand that I am signing up for the full twelve months of membership at Duntryleague in the category I have selected.
I understand that I am liable for the full payment of this membership including any fees and charges as stated on my Invoice, and as prescribed by the Club.
I understand that should I forfeit a payment that the Club will endeavour to contact me on the details supplied by me and that these details are true and correct, to settle the payment.
I understand that the Club has the right to be paid the total amount owing plus any associated fees incurred to settle the account.
I understand that should I default on payment of my obligated instalments and the Club is unable to settle the issue with me that the Club shall have the option to approach a debt collection agency to recover the money, and that my credit rating may be effected by this action.
I understand that should I default upon payment that my membership shall be cancelled and that any monies, vouchers, or prizes allocated to me shall be forfeited to the Club.
I understand that should I default upon payment that any Trophy or Event won by me during that year shall become null and void, to which all interpretation remain the final decision of the Match Committee, and that my name shall not appear as the winner of that event on any Club trophy, honour board or other official notice.
I understand that by participating in this form of membership payment, I shall have all the same rights and privileges as any member, in the category I have elected to join or renewed in, as long as I am financial.
I understand and agree to the above conditions and confirm that I have had them explained to me by the undersigned staff member or club representative

Name

First Last

Signature

Date*

Six Day Member

Conditions

Application for Membership

Membership Agreement at Duntryleague

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