Clifton Road RUGBY CV21 3RD

Telephone: (01788) 542306 (Club) or ( 01788) 890513

E-mail: rugbygolfclub@tiscali.co.uk

Web site: www.rugbygc.co.uk



MEMBERSHIP APPLICATION FORM

(Please Complete in Block Capitals)



Surname:............................................. ........ Forename(s):………………………….. Title:………….
(Mr/Mrs/Ms/Other)
Date of Birth:......................…............

Address: ....................................................................................……….................. Post Code: ............………

..................................................................................................................

Telephone (Home):........................……....... Telephone (Business):..................................... Mobile: ………………………….

E-mail:............................................................................................ Occupation:..............................…........................

My handicap/playing experience is: ………………………… Present Club/s (if any):……………………………….

I wish to apply for membership of the Rugby Golf Club Ltd., and if successful, agree to abide by the rules and to pay the Entry Fee, if any, and Annual subscriptions when due. I agree to this application form being displayed on a Club Notice Board for a period of twenty-eight days and that my personal details will be held on the Data Base and published from time to time for internal Golf Club purposes only, throughout my membership.


Signed:................................................... Date:.........................................


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To be completed by the Applicant's Sponsor and Seconder (if any).

I have been member for two years and have known the applicant for at least one year and have not proposed or seconded a

candidate in the previous twelve months. I have known the applicant for ................ years.

Proposer : ………………….. ……………….. Signed:......................................................... Date: ……………………..

I have been member for two years and have not proposed or seconded a candidate in the previous twelve months. I have

known the applicant for...................... years.

Seconder:..................................................… Signed:.............................................................. Date:……………………….


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For Club use only.


Date Received:.............................Date posted on N/B:............................…..Date Removed from N/B:……….....................

Date of Interview:.......................................

Interviewed by Membership Sec and Messrs:...................................................................................................

Membership Number:………............ Bag Tag:………………… Bar Card:……………………….


Revised June 2007



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