Online membership form - Akarana Golf Club

Course OPEN

Yes

Online Membership Form

Membership Form

First Name*

Last Name*

Gender*

Male Female

Home Phone Number*

Work Phone Number

Fax Number

Mobile Phone Number

Address Line 1*

Address Line 2*

City*

Post Code*

Email Address*

Date of Birth

Are you currently a member or have you ever been a member of a Golf NZ affiliated golf club? Yes

Membership Number

Occupation*

Introduced By (Member):

Are you a New Zealand Citizen?*

Yes No

Membership Type Requested*

Please list the names of existing Akarana members who are family. Please include their relationship to you. Plus the list of any names of members of Akarana Golf Club to whom you are known?

Our Club has a pool of members who help maintain our facility in top class condition. Volunteers assist the Club by providing advice, time or expertise, and all help is appreciated. If you would like to volunteer, please indicate your area of interest or expertise below.

Privacy Statement: The information collected in this form will be used in accordance with the principles of the Privacy Act of 1993. The information will not be used for any other purpose than for a lawful purpose connected to the Club. By submitting this form, you acknowledge your rights to view and amend the information.

Please tick:

Privacy: All information given to Akarana Golf Club will be held by them, but I can correct these details at any time under the Privacy Act 2020. You may provide me with advice and information concerning products and services the club believes may be of interest. I will advise the Club if I do not wish to receive this information.

By submitting this form:

you agree to be bound by the club Rules and Regulations.
you agree to pay the course development fee either by round or lump sum payment.
you commit to an annual membership. You are joining until the end of September (1 October to 30 September being Akarana's membership year). At the end of each membership year, you have the option of renewing for a further 12 months, or resigning from the Club in writing. Fees are payable in full on joining or by monthly direct debit. Three months notice of resignation in writing is required if you choose the Direct Debit option.

	Address: 1388 Dominion Road Mt Roskill Auckland 1041 New Zealand
	Phone: +64 9 621 0024
	Email: admin@akaranagolf.co.nz