Membership Form

Title *

Name *

First

Last

Date of Birth *

Address *

City *

Postcode *

Phone number *

Email *

Identification Photograph *

Click or drag a file to this area to upload.

Please upload a recent photograph in either a .jpg, .jpeg, .pdf or .png format - Max size is 2MB

Membership Category *

Adult Course Membership 31-64 (£355)
Senior Course Membership 65+ (£240)
Under 30 Course Membership 21-29 (£240)
Youth Course Membership 18-20 (£195)
Juvenile Course Membership 14-17 (£75)
Junior Course Membership 14 and under (£50)

Are you also applying to become a full member of the club? *

YES - Additional £50 (optional)
NO - Just course membership

Method of Payment *

FULL PAYMENT via Bank Transfer - Name as Ref - Sort Code 938491 Account Number 13485062
FULL PAYMENT via DEBIT / CASH / CREDIT CARD (Pay on arrival to clubhouse)
SPLIT PAYMENT via DEBIT / CASH / CARD (PAY 1st APR/1st MAY/1st JUN)

CHECKLIST: Have you completed the following? *

All fields in above application form
Identification photograph uploaded
Total payment required (Course Membership + Club Membership)

Confirmation of bank transfer payment should be sent to membership@cityofbelfastgolfclub.com

Any other comments or message you wish to include?

Please enter any other details specific to your application - i.e. Please deduct £50 from my club account and have paid the remaining balance via bank transfer.

Name

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