Trefloyne Membership Application
Title ___________________ Surname: __________________________________________
Forenames _________________________________________________________________
Permanent Address __________________________________________________________
__________________________________________________________________________
Tel (home): __________________________ Tel (work): _____________________________
Mobile _____________________________ Email__________________________________
Do you hold any current Golf Club Membership(s)? - Yes
No
If yes please name club(s) and type of membership _________________________________
Do you hold a current handicap? - Yes
No
If yes please state & provide varification________________________________________
If handicap has lapsed, please state last held handicap and date held.
__________________________________________________________________________
Please tick category of membership requested
.
Full Member
amount pd
£
Country Member
amount pd
£
Corporate Member
amount pd
£
Colt Member 18 - 21 yrs
amount pd
£
Junior Member 11 - 18 yrs
amount pd
£
Sub Jnr Member 10 yrs & under
amount pd
£
Less family/joint discaout if applicable
£
Golf Union of Wales Fees
amount pd
£
Dyfed Golf Fees
amount pd
£
Total pd
£
I, (print name) ______________________________ declare the above particulars to be
correct and if admitted to membership will abide by the constitution and rules of Trefloyne Golf Club.
I enclose a cheque for £____________ made payable to Trefloyne Golf Club
Signature _______________________________ Date ______________________________
For Office Use Only
Application Recieved________________________ Signed ____________________________
Amount Recieved ____________________ Method of Payment ________________________
Membership Number ______________________ Date processed_______________________