Online membership form - Waikanae Golf Club

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Visitors

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*

Volunteers are the heart and soul of our Club. If you have a particular skillset or would like to assist occasionally, please let us know how you can help here:

Membership at Waikanae Golf Club is a commitment to the last day of February of each financial year. By submitting this form, you are committing to this time period, you are joining until this period ends. Fees are payable in full on joining or via a direct debit arrangement.

Privacy Statement: The information collected in this form will be used in accordance with the principles of the Privacy Act of 1993. The information will not be used for any other purpose than for a lawful purpose connected to the Club. By submitting this form, you acknowledge your rights to view and amend the information.

Please tick:

	ADDRESS:
	97 TE MOANA ROAD,
	WAIKANAE, NEW ZEALAND
	PHONE:
	+64 (4) 293 6399
	EMAIL:
	office@waikanaegolfclub.co.nz