Online membership form - Bottle Lake Golf Club

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Online Membership Form

Join Bottle Lake Golf Club and enjoy a fantastic course, awesome people, pleasant surrounding and of course some golf as well.

Memberships automatically renew at the end of each membership year unless a written resignation is received by letter or email.

Fields marked with * are required.

Membership Form

First Name*

Last Name*

Gender*

Male Female

Home Phone Number*

Work Phone Number

Fax Number

Mobile Phone Number

Address Line 1*

Address Line 2*

City*

Post Code*

Email Address*

Date of Birth

Are you currently a member or have you ever been a member of a Golf NZ affiliated golf club? Yes

Membership Number

Occupation*

Introduced By (Member):

Are you a New Zealand Citizen?*

Yes No

Membership Type Requested*

Privacy Statement: The information collected in this form will be used in accordance with the principles of the Privacy Act of 1993. The information will not be used for any other purpose than for a lawful purpose connected to the Club. By submitting this form, you acknowledge your rights to view and amend the information.

Please tick:

	ADDRESS:
	115 Waitikiri Drive
	Burwood, Christchurch
	PHONE:
	03 3831403
	EMAIL:
	office@bottlelakegolf.co.nz