Social Membership Form

Fill out this form to apply for your Moruya Golf Club Social Membership

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This field is for validation purposes and should be left unchanged.

Membership Options

Social Membership(Required)

*The clubs Membership year runs from February 1st through to January 31st.

Your Title

Member Information

Your Name(Required)

First Last

Date of Birth (dd/mm/yyyy)(Required)

Email(Required)

Your Residential Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Is your postal address the same or different from the above?(Required)

It is the same.

It is different.

Your Postal Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Your Phone Number(Required)

Your Occupation

Membership Inclusions and Benefits

Discounted drinks from the bar
Discounted restaurant purchases
Discounted entertainment tickets (on selected shows)
Participate in Members Only Promotions Bonus Birthday vouchers - valid during birthday month:
1 x Wednesday raffle ticket valued @ $10
1 x Friday raffle ticket valued @ $10
1 x FREE Starter voucher. To be used in the Restaurant with any restaurant purchase
1 x 500 member’s bonus points added to your card

Declaration

I am over the age of 18 years and request that you enter my name to the register of members accordingly. I agree to be bound by your constitution and any rules, regulations or by-laws of the club from time to time that are in force. I understand that my membership and fees or any part thereof is not transferable.

Signature(Required)

Date

Credit Card

Total

Social Membership Form