GOLF & COUNTRY CLUB
4 Pitt Town Bottoms Road, Pitt Town NSW 2756 | Phone: (02) 4580 2800 | Email: lccinfo@chrg.com.au
GOLF MEMBERSHIP APPLICATION Title: Mr | Mrs | Miss | Ms | Dr | Other
(please circle one)
Given Name:
Middle Name:
Known As:
Surname:
Address: Suburb:
State:
Date of Birth: DD / MM / YYYY
Phone:
Mobile:
Email:
Postcode:
Have you been a previous Golf member of Lynwood Country Club?: YES / NO or a previous member of another Golf Club: YES / NO if yes, Club Name:
Golflink No: Member Referal Name: Golflink No: Do you wish to make Lynwood your ‘HOME’ Golfing Club: YES / NO
I attest the above information is true and correct. Signature: Golf Membership Type: Date:
Paid:
* Please note the Golf Membership includes membership to all CHRG hospitality venues.
www.lynwoodgolf.com.au