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Home
Golf
Our Club
Course Info
Membership Form
Competition Bookings
Functions
Functions
Weddings
News & Events
Membership Form
Applicant Nomination Form
Applicant Details
Name
(Required)
Mr/Mrs/Miss
Dr.
Miss
Mr.
Mrs.
Ms.
Prof.
Rev.
Mr/Mrs/Miss
First Name
Surname
Of Address
(Required)
Street Address
Address Line 2
State
Postcode
Phone
(Required)
Email
(Required)
Gender
Date of Birth
(Required)
Occupation
Golf club I previously played at
Golf Link Number
(Required)
Membership Type
Membership Type
(Required)
Affiliated Golf Membership
Bulk Greens
Lifestyle Membership
Social Golf Member
Associate Membership
Social Membership
Under 18YO Junior 18 Hole Handicap
Under 18YO Junior Non-Handicap
Student
Applicant Consent
Consent
(Required)
I accept the above nomination and if elected to membership of the Calliope District GolfClub Inc., agree to abide by the constitution and rules of the club. I understand that "Temporary membership status" will apply until my membership is accepted or declined.
Nominee Details and Signature
Nominee Name
(Required)
First Name
Surname
Additional comments
CAPTCHA
Email
This field is for validation purposes and should be left unchanged.
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