SHANDON PITCH AND PUTT CLUB.

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FOUNDED 1955 RERE 47 SHANDON PARK,

PHIBSBOROUGH,

Dublin, 7,

MEMBERSHIP APPLICATION FORM

Please complete the section (A) and (B) in BLOCK LETTERS

(A) Name of Applicant; ________________________________________________

Address ____________________________________________________

____________________________________________________

Proposed by ________________________________ Date of Application ____________

Signature of Applicant ___________________________

Phone No. ______________

(B) Have you played Pitch and Putt Regularly? ___________________________________

If you have been a Member of a Pitch and Putt Union of Ireland Affiliated Club, state name of

Club, Your handicap and year membership ceased.

Club ___________________________Handicap _______________Year Membership ceased ___________________

Do you, or have you played Golf, if yes, state Club name and handicap.

Golf Club _________________________________ Handicap ._______________.

Current Annual Fees.

ADULTS - € 60 euro. For persons 16 to 18 years - €40 euro.

Family Membership - €135 euro

For Committee use only.

1. Approved _____________ Date _______________ Notified ____________________

2. Annual Fee Received ____________ Receipt No. ____________________________

3. Regd to PPUI. __________ Reg. No., ______________ Handicap ________________

4. Beginner’s package issued ____________________________

N.B. You will be notified when your application has been approved by Club Committee. Your Annual Membership Fee will be payable within two weeks of notification. Should we not hear from you within the two week period, your Membership will be given to another applicant.

Cars parked on Club Premises are at Owners risk and no claim for damage or loss will be entertained by Committee.

Copy of Club Constitution and Rules will be supplied to any Member on request.

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