HEWORTH GOLF CLUB LTD 

Membership Application Form (Please print, complete and return to the Secretary)

To the Committee: 

I, the undersigned, make application to become a FULL MALE / FULL FEMALE / JUNIOR / SOCIAL MEMBER (Delete as necessary) of Heworth Golf Club Ltd.

In the event of acceptance, I hereby authorise you to enter my name in the Register of Members. 

PLEASE COMPLETE IN BLOCK CAPITALS 

SURNAME……………………………………….      TITLE………………

FORENAMES……………………………………

ADDRESS………………………………………..

                   ………………………………………       POST CODE…………………………………….

TELEPHONE (home)…………………….........         (Mobile)…………...................……………….

EMAIL................……………………………….         DATE OF BIRTH..........................................

SIGNATURE…………………………………….            DATE…………….. 

Previous Club…………………………………….

Reason for leaving……………………………….......................................................................................................

Current handicap…………………………………

Last handicap (if lapsed)…………………..……

When lapsed……………………………………… 

We, the undersigned, propose and second the above named for Membership of Heworth Golf Club Ltd. 

PROPOSER                                                        SECONDER

NAME……………………………….         NAME………………………………………

SIGNATURE………………….…..           SIGNATURE…………………....................

TEL. NO…………………………..…        TEL. NO……………………….....................