Membership application 2021 Use this form to submit your membership application. For more information about each membership type and the relevant terms and conditions, please refer to Become a memberPersonal detailsAll the fields in this section are required.Name* First Last Address* Street Address Address Line 2 City State Postcode Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone*Phone (masked)*Email* Enter Email Confirm Email Membership detailsMembership fee inclusions Your membership fee includes GST and a $5.50 insurance premium to cover you against personal injury and theft of golf equipment while playing golf at this club. Theft claims must be as a consequence of forcible entry and cover is in effect nationally.Membership types We offer a number of membership types to suit all situations. There are conditions for some types and these are described in detail when you choose an option. We might need your proof of age, employment or other details to verify your situation before approving your membership. Full. This is the standard membership ($688.50). Senior. For players 75 years and older ($634.00). FIFO. For players who work away from home ($520.00). Lifestyle. For players who want to play often but can't play regularly ($849.00). Affiliate. For players who are members of another club in Australia ($419.00). Age based. For players in age groups: u-35 ($469.50), u-25 ($247.00), u-18 ($98.50) and u-13 ($51.00). Short term. For players who want to join for 1 to 4 months of the year. Choose your membership option*Choose a membership typeFull memberSenior memberFIFO memberLifestyle memberAffiliate memberAdult under-35 memberAdult under-25 memberJunior under-18 memberJunior under-13 memberShort term memberThis is the standard membership.To qualify for this membership you must be at least 75 years old on 1 March 2020 and have been a member of this club for two years.To qualify for this membership you must spend 50% or more of the year more than 500 km from this club.This membership is suitable for players who want to play at any time they choose.To qualify for this membership you must be a member of another Australian golf club and your residential address must be more than 150 km from this club.To qualify for this membership you must be under 35 years old on 1 March 2020. Proof of age might be required.To qualify for this membership you must be under 25 years old on 1 March 2020. Proof of age might be required.To qualify for this membership you must be under 18 years old on 1 March 2020. Proof of age might be required.To qualify for this membership you must be under 13 years old on 1 March 2020. Proof of age might be required.Membership feeNOTE: Your fee covers the six-month period from 1 Mar 2021 to 31 Aug 2021.This membership option is suitable for players who will use the club for a short period.Short term membership periods*Choose the period of membership.1 month2 months3 months4 monthsStart date* Date Format: DD slash MM slash YYYY End dateMembership feeAdditional informationUse this section to tell us a bit more about yourself.Other club membershipIf you are a member of another Australian golf club, enter its name here.Other club membership*Enter the name of the club at which you are currently a member.GolfLink numberIf you have a GolfLink number you can continue to use it at this club. You can also choose to be given a new GolfLink number. If you don't have a GolfLink number we will give you one.I want to use my current GolfLink number.I want to get a new GolfLink number for this clubI don't have a GolfLink numberEnter your GolfLink number*Date of birth(Optional). We use your date of birth for other statistical purposes only.Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date of birth*We use your date of birth to verify your membership level and for other statistical purposes.Day12345678910111213141516171819202122232425262728293031Month123456789101112Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920ReferralHow did you hear about membership at this club?I was once a memberA current member referred meOtherPlease enter the member's name.Please describe your referral.Newsletter consent I consent to my name being published in the New Members list in the members' monthly newsletter. CAPTCHANameThis field is for validation purposes and should be left unchanged.