MEMBERSHIP APPLICATION

Thank You For Choosing To Join Manor Park Golf Club.

We are sure you are going to enjoy every moment of you membership.

To get the membership application process underway we will need the following Membership Application Form completed. This is a straight forward process and is undertaken using our online forms.

Apart from providing all the normal information about yourself you will need to decide how you wish to pay your subscriptions. This can be done in one of two optional ways. Regardless of which method you choose the Membership Application Form will need to be completed:

OPTION 1:	Single payment.	Click to Continue
OPTION 2:	Quarterly, Monthly, Fortnightly or Weekly payments. (For Summer Membership please contact Club Office- Online Direct Debit completion not available)	Click to Continue

MEMBERSHIP APPLICATION FORM:

Please Note: Fields marked with * are required.

Your Contact Details
Title:
First Name:*
Surname:*
Date of Birth*:
Email Address:*
Home Address:*
Please send all communications to my:	Home Address Business Address
Phone (Hm):
Phone (Mb):
Phone (Wk):
Fax:
Please tell us about yourself
Occupation*
Employer*
Business Address:
NZ Citizen	Yes No

How long have you lived in the Wellington region?
(years)

Does anyone who is a member of the Club know you?	Yes No
Present Club
Membership Number
Handicap Index

How were you introduced to the club?

Please indicate the three major reasons why you joined the club?

	Course facilities		Reputation of club
	Proximity to home		Coaches and Proshop
	Clubhouse/social facilities		Friends/family were members
	Other

Class of Membership Applying For

Full playing Midweek Junior 10 Hole Summer Winter

Payment Options

If you wish to pay your subscription by more than one payment please indicate how frequently you wish to pay. Multiple instalments attract a $5 Administration Fee per payment to a maximum of $100 per annum.

Single Payment Weekly Fortnightly Monthly Quarterly

Please note Quarterly, Monthly, Fortnightly and Weekly payment programmes will require a direct debit authority on your bank account to be completed. For single payment, an invoice will be issued which may be paid by cheque, eftpos , credit card (Visa, Mastercard, Amex, Diners Club), or cash.

Agreement

I hereby agree by submitting this application to abide by the Rules of the Manor Park Golf Club Inc as published and amended from time to time. Furthermore I acknowledge that membership is a privilege and that my membership to the Manor Park Golf Club will be confirmed by the Club's Board at a regular meeting providing that the application form is completed correctly and the appropriate fee is paid in full. Should I wish to cancel my membership, I understand that the Rules require me to resign in writing prior to the end of the Club's financial year. In accordance with the Principles contained in the Privacy Act 1993, I am in agreement with the Manor Park Golf Club's rights to store, maintain and use the information outlined on this form. I also understand that any disclosure of this information will be restricted to matters directly concerned with the daily operations of the Club, Club fixtures and the New Zealand and Wellington Golf Associations and will be in accordance with the Club Rules.

Security

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