WORTHING GOLF CLUB NOMINATION FORM
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Category of Membership: *
Title
Clear selection
Surname
*
First Names
*
Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Mobile
*
Home Tel No
*
Email address
*
Occupation (Full details)
*
Golf, Social or Other Clubs
*
Nominated Home Club for H’cap Purposes
*
A MEMBER OF LESS THAN 12 MONTHS STANDING IS NOT ELIGIBLE TO SPONSOR/SECOND A CANDIDATE.
Proposer details
I have known the Proposer personally for a period of......years.
Proposer's Name
Date of Joining Club (if known)
MM
/
DD
/
YYYY
Seconder details
I have known the Seconder personally for a period of ............. years.

Seconder's Name
Date of Joining Club (if known)
MM
/
DD
/
YYYY
As the Proposer and Seconder to email a personal reference to membership@worthinggolf.com to support the application.

If you have previously been a member of a club please provide more details.

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