Membership Form – CHESHAM & LEY HILL GOLF CLUB

Name *

First

Last

Home Telephone Number

Mobile Number

Email *

Address 1

Address 2

Town / City

County

Post Code

Date of Birth

Names(s) of current and previous Golf Clubs (if applicable)

WHS Handicap Index (if applicable)

CDH Number (if known)

Membership Category

Proposer if any who is already a Member

Electronic Signature

Date

Paragraph Text

On joining the Club. I undertake to pay all due subscriptions and levies promptly and agree to abide by all the Rules and Bye-Laws of the Club at all times. I understand that all of my details above will be retained in strictest confidence and in accordance with the provisions of the Data Protection Act. I agree that my contact details above may be used by the Trustees and by other members of the Club to communicate with me.

Signature

Date