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WORTHING GOLF CLUB NOMINATION FORM
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* Indicates required question
Category of Membership:
*
FULL PLAYING
FIVE-DAY
INTERMEDIATE (18-30 yrs)
Title
Mr.
Mrs.
Miss
Clear selection
Surname
*
Your answer
First Names
*
Your answer
Date of Birth
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MM
/
DD
/
YYYY
Address
*
Your answer
Mobile
*
Your answer
Home Tel No
*
Your answer
Email address
*
Your answer
Occupation (Full details)
*
Your answer
Golf, Social or Other Clubs
*
Your answer
Nominated Home Club for H’cap Purposes
*
Your answer
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.
Your answer
Proposer's Name
Your answer
Date of Joining Club (if known)
MM
/
DD
/
YYYY
Seconder details
I have known the Seconder personally for a period of ............. years.
Your answer
Seconder's Name
Your answer
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.
Your answer
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