The membership year runs from 1st January to 31st December

PLEASE PRINT CLEARLY AND COMPLETE THE FORM IN FULL.

1. About you:
First Name / Last Name / Date of Birth / Sex (M/F)
Mr/Mrs/Miss
Address:
Postcode: / Telephone: / Mobile:
Email:
2. Please tick the category of membership you require:
Membership Categories / Tick / Annual Fee
RENEWAL- BRS Number (if known)……………………… or NEW MEMBER
Adult / £415
Family (2 adults + any children under 16 as at 01/01/17) / £840
Young Adult (28 to 30 on 01/01/17) / £375
Young Adult (25 to 27 on 01/01/17) / £295
Young Adult (21 to 24 on 01/01/17) / £210
Young Adult (19 to 21 on 01/01/17) / £140
Young Adult (16 to 18 on 01/01/17) / £70
Junior (at secondarty school & under 16 on 01/01/17) / £40
Primary School Age Child / £25
Country / £325 with 6 Guest tickets
Life paid-up (5% of full membership) / £20.75
Locker Yes/No - Locker No..………(please contact us to be added to the waiting list) / £30
Notes:Qualification for Young Adult and Junior categories is determined by a member's age on 1stJanuary.
TOTAL DUE £…………………………….
3. How are you paying your membership fee? (please tick)
Cheque: / Bank Transfer: / Debit/Credit Card: / Cash: / Standing Order:
See payment instructions overleaf
4. About your golf:
Your Handicap (if applicable) / Is Duns your Home club? (Y/N) / If not Duns, please tell us your Home club

Continued overleaf

6. If you have any questions please contact us:
Telephone (club office): / 01361 883599 / Email: /
7. Payment Instructions
Debit/Credit Card / Card payments can be made in person, over the phone or complete details at the bottom of form.
Bank Transfer / Please contact the club on to request our bank details or call the office on 01361 883599
Cash / Cash payments can only be made in person at the club. Please bring this completed form when you come to make your payment.
Cheque / Cheques should be payable to Duns Golf Club. Return your cheque with this completed form to the Membership Secretary, Duns Golf Club, Hardens Road, Duns, TD11 3NR
Standing Order /
  • Standing Order payments are normally made monthly throughout the year starting in January, and then continue thorughout your membership. Around renewal time we will advise you of any change in amount that may be required.
  • If you wish to pay by standing order please contact the office for a form or details of how to set one up with your bank, we will also advise of the amount, which is usually pro rata.
  • We usual only allow you to pay by standing order if your membership is more than £200 per year.
  • If you cancel your membership part way through the year then any outstanding balance wil be required to be paid in full.

Please sign, date and print your name

Signed………………………………………………………………….… Date …………………….………………….

Print……………………………………………………………………………………………………..…………………

Thank you for joining Duns Golf Club

…………………………………………………………………………………………………………………………………………..

If you wish to pay in full by card please complete the details below, once payment is taken this part of the form will be destroyed.
Name on Card
Card Number
Expiry Date / /
3 Digit number from the back

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