Electronic Membership Application form

Please complete

Name::*
	Full names - First & Surnames

Address::*

Postal Code::*

Date of Birth:*

Current Handicap:

CDH Number:

Home Club:*

Telephone Number:*

Name:*

Home Club:*

Current Handicap:*

CDH Number:*

Enter not this field:

MEMBERSHIP OPTIONS

Full over 35:
	£1 330 pa

Full 31 -34:
	£ 1 030.00 pa

Full 26 - 30:
	£880.00 pa

Full 23 - 25:
	£ 780.00 pa

Full 19 - 22:
	£ 500.00 pa

5 Day:
	£ 1 190 pa

Country:
	£ 740.00 pa Place of domicile is 50 or more miles from the club

Armed Forces:
	£ 720.00 pa members of the armed forces in fulltime service, must produce a valid armed forces ID card.

Flexible:
	£ 270.00 pa Weekdays £25 & Weekend £30 per 18 holes. Limited competitions.

Banking account details - Please tick if you are transferring the entry fees via a BACS payment to

Knighton Heath Golf Club Ltd, Account 00113811, Sort Code 30-96-73:
	Please use your surname as the reference followed by PA

*Indicates a field you must enter.

When you have completed the form, please click the SEND button below

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