Application for Membership - The Grange Golf Club

I hereby make application to become a member of The Grange Golf Club Incorporated as a:*

* No application fee applicable for this category. As part of our commitment to the R&A’s Women in Golf Charter, no waiting lists apply to women's membership categories.

Note: The Grange Golf Club currently has waiting list conditions that apply to most categories of Membership. Upon approval of the Membership application form, you are required to pay in full a waitlist registration fee of $500. UPON APPROVAL, THE $500 FEE WILL BE CREDITED FROM THE ENTRANCE FEE IN YOUR RESPECTIVE CATEGORY OF MEMBERSHIP AT TIME OF ADMISSION TO THE CLUB.

APPLICANT INFORMATION

Name*

Title First Name Surname

Known As*

Gender*

Male
Female
Unspecified

Address*

Street Address Address Line 2 City State Postcode

Postal Address*

Same As Above
Other

Postal Address

Street Address City State Postcode

Date of Birth*

Occupation

Mobile*

Phone

Business Phone

Email*

Are you a member of another golf club?*

Yes
No

Golf Club*

Golf Link Number*

Handicap*

Would you like Grange to become your home club for handicapping purposes:*

Yes
No

Have you ever had a Membership application refused, or have you been suspended or expelled from any golf club?*

Yes
No

If yes, please provide any details you feel would assist in your application.

PROPOSER & SECONDER DETAILS

A Proposer and Seconder is required to endorse this application. To be eligible, the Proposer and Seconder must:

Be a current financial Member of The Grange Golf Club;
Have been a member of the Club for more than 12 months;
Be over the age of 18;
Know the applicant personally and be able to vouch for their good character;
Not be an immediate relative of the applicant;

If you do not know any current Grange members, please provide either:

A letter of introduction from your current or previous golf club; or
Contact details of someone known to you for more than two years, who is not an immediate relative of yours, and agrees to be a referee for your application.

I will be using the following to endorse my membership application:*

Proposer & Seconder
Referee (if you do not know any current Grange members)
Letter of Introduction from my current club

PROPOSER - Name*

PROPOSER - Membership Number (or GolfLink Number)*

How long has the Proposer known you?*

Relationship to the Proposer?*

Consent*

I agree to The Grange Golf Club contacting my Proposer regarding my application

SECONDER - Name*

SECONDER - Membership Number (or GolfLink Number)*

How long has the Seconder known you?*

Relationship to the Seconder?*

Consent*

I agree to The Grange Golf Club contacting my Seconder regarding my application

REFEREE - Name*

REFEREE - Contact Number*

REFEREE - Email*

How long has the referee known you?*

Consent*

I agree to The Grange Golf Club contacting my referee regarding my application

Upload Letter of Introduction

Accepted file types: pdf, Max. file size: 6 MB.

Please upload the Letter of Introduction from your current golf club (PDF format only). If you do not have an electronic version, please tick the box below to indicate you will drop off a copy of your Letter of Introduction to the club.

Unable to upload

I don't have an electronic version of my Letter of Introduction and will drop off a copy to the club

MEMBERSHIP DECLARATION

PRIVACY NOTE:

All data collected by The Grange Golf Club Incorporated is held in the strictest confidence in accordance with our Club's Privacy Policy and the National Privacy Principles as set out in the Privacy Act 1988.

DECLARATION:

I confirm that the details provided in my application are true and correct.

If the Committee of The Grange Golf Club approves my application, I will abide by all the Club's Rules and Constitution, including general licensing conditions of the Club.

I acknowledged that the Club reserves the right to conduct membership suitability checks as deemed appropriate by Management and Committee.

I agree to join the Club immediately when offered membership.

I acknowledge that I am liable to pay all outstanding fees and debts owing if I choose to terminate my membership at any time prior to full payment.

Consent*

Have you read and agree to the declaration above?

Signature - enter name*

Date*

Payment*

Total

$ 0.00

Credit Card

Card Details

Cardholder Name

Membership Application Form

APPLICANT INFORMATION

PROPOSER & SECONDER DETAILS

MEMBERSHIP DECLARATION

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