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Membership Application
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*
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Membership Type
New Membership
Membership renewal
What is your GOLFlink number? *
Name
*
First
Last
Email
*
Address
*
Postal Address
City
State / Province / Region
ZIP / Postal Code
Telephone
*
Mobile
*
Date of Birth
*
DD slash MM slash YYYY
Gender
*
Male
Female
Social golf club name (if applicable):
Promo Code:
Have you previously held an official Australian Registered Handicap?
Yes
No
What is your GOLFlink number?
*
Please advise us of the name of your home club
*
Optional: You may attach copies of up to three (3) signed score cards.
Drop files here or
Select files
Accepted file types: docx, pdf, jpg, pdf, png, Max. file size: 9 MB, Max. files: 3.
Payment Type
12mth upfront (149.00 includes $13.55 gst)
Direct debit pay by month option (credit card)
Direct debit pay by month option (Bank account)
Bank Details
Account Name
*
Account BSB
*
Account Number
*
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Total
Total
Consent
I agree to the privacy policy.
I/We authorise Ezidebit Pty Ltd ACN 096 902 813 (User ID No 165969, 303909, 301203, 234040, 234072, 428198) to debit my/our nominated account identified above through the Bulk Electronic System (BECS) in accordance with the Debit Arrangement stated above by, and as per the
Ezidebit Direct Debit Agreement Terms & Conditions
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Consent
*
I agree to the Membership terms & Conditions
*
This online merchant is located in Australia
Direct debit membership - minimum term is 12 months
Read our Membership Terms here.
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Category:
Memberships