www.willowsgolf.com.au

MEMBERSHIP
APPLICATION FORM

When completed,
Print this form,
sign it and then
Fax to: 07 4723 2805

Last Name

I am a Male

First Name

I am a Female

 

Date of Birth (DD/MM/YYYY)

Address
 
City or Suburb   Post Code
Home Phone    Business/Work
Mobile    Fax
email
AGU/WGU Handicap    GolfLink Number:
Your Occupation
Company Name
  12 Months 6 Months    
Full Membership $800 $455    
Husband and Wife $1190 $658    
Seniors (60+) $650 $372

Card Number:

         
Mid Week $430 $251 Monday to Friday
Country $380 $224 100km or more travel distance.
    Fly+In/Fly+Out - Letter from employer required.
Progressional $430 $251 18-21 years
Junior $180 $90 Under 18 years
Loyalty $99

N/A

 
Members Own Use

$350

Use of members own cart at all times (subject
to approval otherwise daily trail fee $8 applies)

Affiliation Fee Males

$40.00

Payable to Australian Golfing Association
  Females

$40.00

 

I hereby apply for membership of The Willows Resort and, if elected, agree to acquaint myself/(ourselves), and to be bound by the rules and by-laws of the club.

Applicants Signature:

 

 

   

Seconder's Signature:

 

Print Name and Member#:

Approval/Interview

  Payment Details OFFICE USE
Invoice   Subs Incl. GST   Type
Payment Received   Affiliation Fee   Date Paid
Member Card & Tag   Bar Levy   Input
Welcome & Receipt   TOTAL    
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