Membership Application

[ Full $180 – Seasonal $100 – Intermediate $55 – Junior $40 – Social $20 ]
Fields marked with an * are required

Address Details


Postal Address Details


Contact Details


Occupation Details


Emergency Contact


Payment Details

Payment must be made on application.

Bank Details
BSB: 033625
ACCOUNT: 233729


Nominee's

Nominee's must be members of the club, however if you do not know any members please leave it blank.

Declaration

I ' 'understand that by becoming a member of Parklands Golf Club Incorporated I agree to be bound by the rules of Parklands Golf Club Incorporated for the time being in force.