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  Senior Membership Application ( For over 60 years) Please note there is a card fee payable of 150.00
     
  Name:
  Surname:
  Email:
  ID Number:
  Cell Number:
  Tel (Home):
  Fax:
  Email Address:
  Postal Address:
  Residential Address:
  Current Handicap:
     
  Please select payment option:
     
  Cash
  EFT
  Cheque
  Credit Card
     
   
 

Senior Membership Cost : R 1,500.00

MEMBERSHIP IS FOR 12 MONTHS FROM DATE OF JOINING

Bank Details:
Account Name: Golf Memberships
Bank: ABSA Pretoria North
Account Number: 4075291775
Branch Code: 509 145

Please use your name / membership no as reference
Please fax proof of payment to 0860 454 650
All cheques payable to Golf Memberships

   
 
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