Name:              ______________________________________

Address:          _________________________________________________________

                      __________________________________________________________

Contact No.    ________________________
 
 
 

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If you are a member of another club please fill out the following details.......
 
 

Name of Club:      _____________________________________________

Address:               _____________________________________________

                           _____________________________________________

Your Handicap:    ______________________________________________

You Reg Number:____________________________________________________
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Thank you for filling out this form. Please now print it out and send it to one of our contacts.

(See Contacts)