APPLICATION FOR MEMBERSHIP We would love to hear from you! Please fill out this form and we will get in touch with you shortly. There is a Waitlist ($50 fee applies) for some playing categories, please check with the office via email office@northrydegolfclub.com.au for full details. There is a Waitlist ($50 fee applies) for some playing categories, please check with the office via email office@northrydegolfclub.com.au for full details.Title* Name* First Last Preferred Name* Date of Birth*Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address* Street Address Suburb State / Province / Region ZIP / Postal Code COUNTRY *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and 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Islands Country Home PhoneMobile Phone*Email* Occupation* Emergency Contact Name* Relationship* Emergence Phone Contact*Membership DetailsMembership Category*MEMBERSHIP CATEGORY *Full Playing MalePlaying LadiesFive Day (Sun - Thurs) MaleFlexible - Male/FemaleJunior Under 18Colt 18 to 24CadetSocial 1 year ($15)Social 5 years ($50)Have you ever been refused membership or had your membership withdrawn from a club?* Yes No Reason for Joining* Home Club Course Reputation Proximity to Home Family / Friends Driving Range Pro Shop facilities & coaching staff What prompted your application today?* Flyer Website Facebook Friend/Family Visit to the Club Word of Mouth Golfing DetailsName of previous club Current Handicap Golflink No. Home Club Nominator Name Nominator NumberSeconder Name Seconder NumberIf elected to membership, I hereby agree to abide by the Constitution of the Club in force at present or may be decreed in the future by the Board of Directors* I Agree I Disagree Please contact the 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