MANJIMUP COUNTRY CLUB
Nomination / Application for Membership
Page 1
Name:

.................................................................................................. (M/F) (Please print)


................................................................................................................ (Signature)

Address:


...................................................................................................................................

Postal Address:
...................................................................................................................................
Phone:


Home ........................... Business ............................Mobile: ...............................
Occupation & Place of Employment:
..................................................................................................................................
Nominated by:


............................................................................................................. (please print)


..................................................................................................................... (signed)

Seconded by:


............................................................................................................. (please print)


..................................................................................................................... (signed)

Payment herewith:

 

.....................................................................................................................
Please indicate appropriate box:
Golf
Bowls
Non Competition Golf
Country membership
Social
Junior


MANJIMUP COUTRY CLUB, GOLF SECTION - ADDITIONAL INFORMATION

1. Have you previously been a member of a Golf Club ? ......................................................

2. If "Yes"

(a) Please give details of the Club / Clubs

   
   


(b) Please advise your Golf Link Number if current ...................................................

(c) Please advise your last Official Handicap ...............................................................

 

page 2

MANJIMUP GOLF CLUB
APPLICATION FOR MEMBERSHIP

Manjimup Golf Club is part of the Manjimup Country Club Inc.

FEE STRUCTURE 2011  
NOMINATION FOR MEMBERSHIP $50.00
SOCIAL AND JUNIOR Nil
SOCIAL (Incorporating Darts and Squash) $20.00
All fees are due on 1st January and are to be paid by the 31st January to remain financial.
Men's and Ladies' Full and Pensioner Fees includes a $25 machinery Lease Levy as agreed by the two Committees. Affiliation Fee is included in all fees. Qualification for Pensioner Fee in on the Notice Board at the Club.
ANNUAL
 SUBS
Men $550.00
Ladies $455.00
Pensioner - Men $380.00
Pensioner - Ladies $325.00
Non Competition $340.00
Country
$290.00
Junior
Under 15
$15.00
15 to 18 years
$40.00
18 to 21 years
$200.00

Please post your Nomination/Application form for Membership, together with a cheque/money order for the Nomination fee to:

The Secretary
Manjimup Country Club
PO Box 255
Manjimup
Western Australia, 6258