MEMBERSHIP APPLICATION

Membership Type

Gender

Male

Female

First name (preferred name)

Last name

Email

Mobile Phone

Landline / Other Phone Number

Address

Birthday

Day

Month

Year

Existing GA (Golf Australia/Handicap) Number:

If you are you a GA member at another club please advise where:

If a member of multiple clubs, are you electing to make Goombungee GC your primary Golf Australia affiliated club?

Yes (Goombungee GC will manage your GA affiliation/handicap)

No - Applying for membership only / and or GA affiliation remaining with existing club

Message:

NOTE: Payment to be made in person or via Bank Transfer.

Once membership fee is paid, you are a member. See one of our Captains at the clubhouse for a reciept.

Further details will be emailed after you've submitted your application.

GOOMBUNGEE GOLF CLUB