BLUNDELLS HILL GOLF CLUB

Blundells Lane Rainhill Merseyside L35 6NA 0151 426 9040 www.blundellshill.co.uk

MEMBERSHIP APPLICATION FORM

BLOCK CAPITALS PLEASE

Full Name ........................................................................................... Reason for Joining Blundells Hill Golf Club .........................................
Address ............................................................................................... ............................................................................................................
............................................................................................................ How are you prepared to support this Club ? ......................................
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Post Code ........................................................................................... ............................................................................................................
Telephone Number (Home) ................................................................
Telephone Number (Mobile) ...............................................................
Email Address ......................................................................................
PROPOSER / SECONDER (If Applicable)
Date of Birth .......................................................................................
How do you consider this person to be an advantage to the Club ?
Marital Status ........................................... Number of Children .........
............................................................................................................
Employer ............................................................................................
............................................................................................................
Address ...............................................................................................
Signed (Proposer) ......................... Signed (Seconder) .........................
............................................................................................................
Membership Number ................... Membership Number ....................
............................................................................................................
Position ......................... Number of Years with Present Employer ......
Are you currently a member of a Golf Club ? ......................................
MEMBERSHIP I agree to abide by the Constitution, Rules
Name of Golf Club .............................................................................. REQUIRED and Bye Laws of Blundells Hill Golf Club
Details of Golf Experience / Previous Clubs ..........................................
R Category Annual Fee Signed (Applicant) ......................... Date .............
Handicap (if any) ................................................................................
Full 7 Day £896.50
Can you produce a Handicap Certificate ............................................. Monday to Sunday
Are you a Member of any other Sports Clubs ? .................................... 5 Day £649.00 OFFICE USE ONLY
Details ................................................................................................. Monday to Friday
Received by Secretary .......................... Date ..............
............................................................................................................ Junior £376.25 Membership Chairman ........................ Date ..............
18-22 Years Old

TWO PASSPORT SIZED PHOTOGRAPHS MUST ACCOMPANY THIS APPLICATION FORM August 2010