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Please tell us about yourself


First Name(s)


Date Of Birth*

Membership Type

Home Address

Mailing Address

Please send all communications to my:

Business address

Home Address

Phone (Hm)

Phone (Wk)

Phone (Mb)




Aust Citizen

Yes No

Have you ever been expelled, barred from, or refused admission to, any club or Golf Club?
Have you previously been a member of this Club?
Are you a member of any other Golf Club?
If so, please state the name of the club


Golflink number

Would you like The Coast to be your home club
Do you intend to:
Participate in Competition?
Play only socially

When do you intend to play?

Weekend Midweek


I certify that the above information is true and correct. I hereby apply to be elected a member of The Coast Golf Club Limited and request, if elected, that my name be entered in the Register of Members.  I agree to be bound by the By-Laws, Memorandum and Articles of Association of the Company.


All information I give to the The Coast Golf Club will be held with them, but I can access and correct these details at any time under the Privacy Act 1993. You may provide me with advice and information concerning products and services that the club believes may be of interest to me. I will advise the club in writing if I do not wish this to happen.

* Proof of age required if under 18 (copy of Birth Certificate).

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