Paeroa Golf Club Inc. Membership Application

Paeroa Golf Club Inc. Membership Application

Membership valid 01 February to 31 January the following year
Name *

First Name Last Name
Email *
example@example.com
Phone Number *

- Area Code Phone Number

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Membership Option: Choose one

$ 575 Full Playing $ 350 9 Hole $ 450 Returning Golfer $ 285 Limited $ 350 New To Golf $ 350 Country $ 200 Summer/Casual $ 50 College Student $ 25 Primary Student
Do you know any members?

Yes No, please disregard Proposer/Seconder section
Proposer
Seconder
Thank you for your interest in Paeroa Golf Club

We will contact you upon application review
Should be Empty:

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