Kilrush Golf & Sports Club
Kilrush Co. Clare
Tel: 065 9051138 – Mobile: 086 4118983 – Fax: 065 9052633
www. kilrushgolfclub.com - E Mail: [email protected]
Application Form for Membership
I hereby apply to the Committee of Kilrush Golf & Sports Club.
For the following category of Membership (Please Tick & Print as necessary).
Full
Beginner
Other
Family
Student
Juvenile
Country Husband & Wife
Country
Distance Category 1( Outside 33 KM of Kilrush)
Distance Husband & Wife
Pavillion
Distance Category 2 ( Outside 60 KM of Kilrush)
Overseas Husband & Wife
Overseas
Distance Husband & Wife Category 1
Life ( Tick the Category of Life Membership)
Distance Husband & Wife Category 2
Proposer:
Seconder:
Forename:
Surname:
Address:
Applicants Signature:
Date of Application:
E Mail Address:
Mobile Phone No:
Date of Birth:
Please Tick Your Preferred Form of
Contact
Are you a Member of another Club?
E Mail:
Yes
Mob. Text:
No
Both:
Present Handicap
If “Yes” Please Provide Golf Club Name
IGLU / GUI Card Number:
Those applicants who wish to be allocated a Handicap MUST submit THREE Cards completed at Kilrush Golf Club
under normal playing conditions, MARKED AND SIGNED by a responsible person acceptable
to the Handicap Committee at Kilrush Golf Club.
All applications should be addressed to the Honorary Secretary and MUST be accompanied
by the RELEVANT SUBSCRIPTION for the category of membership applied for.
ACCEPTANCE OF ALL APPLICATIONS FOR MEMBERSHIP IS AT THE STRICT DISCRETION OF THE
COMMITTEE.