Membership application at Portarlington Golf Club

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PGC

APPLICATION FOR MEMBERSHIP

Applicant's Details

Your Name:

E-mail address - You must supply an address for this form to work.

Postal Address:

Phone: (private) .	Phone: (business) .
Date of Birth: (if under 21 yrs) .	Current or Past Occupation: .

Are you a member of another Golf Club? .	.
If Yes, what is your Golf Link No. .	.

Home Club for Handicapping Purposes .	.
Handicap (if any)

List members of Portarlington known to you (if any):

Type of membership:

Additional Comments:

Portarlington Golf Club Inc.
130 Hood Road, Portarlington, Victoria, Australia 3223
Telephone: 61 3 5259 2492
Facsimile: 61 3 5259 2959
E-mail: portgolf@primus.com.au