Online membership form - Taupo Golf Club

Online Membership Form

Membership Form

First Name*

Last Name*

Gender*

Male Female

Home Phone Number*

Work Phone Number

Fax Number

Mobile Phone Number

Address Line 1*

Address Line 2*

City*

Post Code*

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

Membership Number

Occupation*

Introduced By (Member):

Are you a New Zealand Citizen?*

Yes No

Membership Type Requested*

Emergency Contact Name

Emergency Contact Number

By clicking submit you adhere to the following: I hereby agree to abide by the Rules of the Taupo Golf Club Inc. and as published and amended from time to time. Furthermore, I acknowledge that membership is a privilege and that my membership to the Taupo Golf Club will be assessed by both Board’s at a regular meeting providing that the application form is completed correctly and the appropriate fee paid in full. Under the terms of the Privacy Act 1993 you authorise us to furnish any third party details of this application and any subsequent dealings that you may have with us as a result of this of this application being actioned by us. I accept that I remain liable for the annual membership subscription until fully paid, even if making progress payments by arrangement.

Please tick:

	Address : Centennial Drive Taupo 3378 New Zealand
	Phone : (07) 378 6933
	Email : proshop@taupogolf.co.nz