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ONLINE APPLICATION FORM
Please complete the following
Surname
Given Name(s)
Title
Mr
Mrs
Miss
Ms
Master
Dr
Sir
Lady
Rev
Date Of Birth
Membership Type
Select Membership Type
Seven Day Ordinary
Seven Day Senior Ordinary
7 Day Intermediate (20 years)
7 Day Intermediate (19 years)
7 Day Intermediate (18 years)
7 Day Junior (Up to 17)
Seven Day (Sun-Sat) Country (> 80km from HCC)
Six Day (Sun-Fri) Ordinary
Six Day (Sun-Fri) Senior Ordinary
Six Day (Sun-Fri) Intermediate (20 Years)
Six Day (Sun-Fri) Intermediate (19 Years)
Six Day (Sun-Fri) Intermediate (18 Years)
Six Day (Sun-Fri) Junior (Up to 17 Years)
Six Day (Sun-Fri) Country (> 80km from HCC)
Five Day (Mon-Fri) Ordinary
Five Day (Mon-Fri) Senior Ordinary
Five Day (Mon-Fri) Intermediate (20 Years)
Five Day (Mon-Fri) Intermediate (19 Years)
Five Day (Mon-Fri) Intermediate (18 Years)
Five Day (Mon-Fri) Junior (Up to 17 Years)
Five Day (Mon-Fri) Country (> 80km from HCC)
Social Playing Membership
Non-active Membership
Social Membership (Non Playing)
Introductory Membership
Gender:
Male
Female
Address
Postcode
Phone (Hm)
Phone (Wk)
Phone (Mb)
Fax
Email
Accept Club Email
Tick if Yes
Occupation
Employer
Marital Status
Next of Kin
Previous Golf Club Membership held at
Handicap
Golflink Number
If applicable - Members of Hartfield Country Club that will support my nomination
Proposer
Seconder
Period known
You may provide any further information you wish to include with this application
Please type the text from the image to the left or
click here
if you cannot read the image.
Acceptance of the application is conditional upon being accepted by the management committee
