Wakatipu Junior Golf Club. Application for Membership Date joined; ………………………………………….. Type of Membership (Please Tick) Junior WJGC Parent Name of Junior you will be playing with………………………………………….. First Name(s):……………………………………..Surname:…………………….…..… Gender: Male / Female Postal Address………………………………………………………………………….… Date Of Birth:…………………. Contact Phone Numbers:………………………………………………………………... E-mail address:………………………………………………………………………….... Previous membership of any Golf Club Name of Club: Have you had a handicap within the last 2 years? (circle) If so what is your 7 digit membership number? Yes / No Junior Members You must be under 19. WJGC Parent Members You can only play with the junior nominated on this form Amount Paid: $____________ I, the undersigned, declare that the above is correct and hereby agree to abide by the rules set down by the New Zealand Golf Association Inc. and any local rules set by the Wakatipu Junior Golf Club. Signed:………………………………………………… Date:………………………….... Direct credit payments can be made directly to our bank account: ASB 12-3195-0000222-00 Please reference your first and last name when making online membership payments. Thank you. WJGC Coordinator: Simon Boland, P.O. Box 1891, Queenstown, New Zealand
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