Chipstead Golf Club
Membership Form
Date Application submitted ……………………………
For the attention of the Director of Golf
I would like to join Chipstead Golf Club as a:
1. Full Member Date of Birth……………………………( )
2. Full (18-35) Member Date of Birth…………………………… ( )
3. Five-Day Member Date of Birth……………………………( )
4. Winter Member Date of Birth……………………………( )
5. Link Member Date of Birth........................( )
6. Academy Member Date of Birth……………………………( )
7. Junior Member Date of Birth……………………………( )
8. Junior Academy Member Date of Birth……………………………( )
9. Social Member Date of Birth……………………………( )
I hereby agree, if elected, to become a member of the said Club and to be bound by the Memorandum and Articles of Association and bye-laws of the Club.
Signature ……………………………………………..
Full Name of Applicant ………………………………………….
Address………………………………………………………………………………………………
………………………………………………………………… Post Code ……………………….
Telephone No. ………………….…. Home ……………….……. Work ………….……….Mobile
Email Address ……………………………………………………(please print clearly)
Occupation …………………………………………………………….
Previous Golf Club (if applicable) …………………………….. Official EGU Handicap ………...
(This lower Section need only be completed if you already know a CGC member)
The above named candidate is personally known to us and we believe him/her to be a suitable person to be elected a member of the Chipstead Golf Club Limited.
Dated this day of 20
Signed ………………………………………Proposer ………………………………………
(name in block letters)
Signed ………………………………………Proposer ………………………………………
(name in block letters)
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