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MEMBERSHIP APPLICATION FORM 1st June 2011 – 31st May 2012 Please circle/highlight/delete as appropriate    

FULL MEMBERSHIP (includes Green Fees) 7-DAY FULL MEMBERSHIP - £499.00 inc.VAT 5-DAY MEMBERSHIP - £299.00 inc.VAT (Monday to Friday exc. bank holidays) 7-DAY JUNIOR MEMBERSHIP - £199.00 inc.VAT 7-DAY FAMILY MEMBERSHIP- £999.00 inc.VAT (2 Adults and up to 2 juniors)

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PAY & PLAY MEMBERSHIP (Green Fees payable on playing) ADULT PAY & PLAY MEMBERSHIP - £50.00 - reduced competition green fees* JUNIOR PAY & PLAY MEMBERSHIP - £25.00 - reduced competition green fees*  

When applying for Full Membership, please enclose 2 passport-sized photos for each applicant.. All payments must be made in person at the professionals shop by cash or credit/debit card only. Membership commences from date of payment.

Title: Mr/Mrs/Miss/Other_____________________ Full Name:__________________________________________________ Address:___________________________________________________________________________ __________________________________________________________________________________ Postcode:___________________________________________________ Home Tel:________________________ Work Tel:________________________ Mobile Tel:_______________________ Email:___________________________ Additional Information (complete only if applicable to you) Are you a member of another Golf Club? Yes / No Please give details here________________________________________________________ Do you have an Official Handicap? Yes / No If yes, please state your Exact Handicap here________ and provide a certificate with your application. Do you wish to nominate Rokers G.C as your Home Club? Yes / No Payment Details (complete all) Payment method: Cash / Card Amount being paid: £________________ All membership payments must be made in person at the Pro-Shop counter at Rokers Golf Course, Holly Lane, Worplesdon, Guildford, Surrey, GU3 3PB. Pro-Shop Tel: 01483 236677.

Terms & Conditions - Please read fully before signing. By applying for Membership at Rokers Golf Club I agree to the following: 1. As a Full Member, and on production of my Membership Card, I will not be required to pay any green fees at Rokers Golf Course for the duration my Membership is valid. 2. To abide by the Rules of the Rokers Golf Course, Driving Range and Clubhouse as displayed on the rules board at Rokers Golf Course. In particular I will not practice on the golf course (play more than one ball) or play the holes out of sequence. 3. That I shall receive no preferential treatment over pay & play customers and that I am strongly advised to book tee-times in the normal way. 4. If I arrive to play without a booked tee-time I will have to wait until the next available tee-time as advised by the Professionals Shop. 5. I will carry my Membership Card at all times when on the premises and produce it on demand to any member of staff. 6. As a member I am expected to set an example to pay & play customers maintaining the standards of behaviour and the dress code as displayed on the rules board at Rokers Golf Course. 7. No refunds of any kind will be given on any membership. I understand that I am advised to seek and undertake a suitable golf insurance policy covering membership fees. 8. If I break any of the terms and conditions set out above I understand that my membership will be terminated with immediate effect, without refund.

Signed__________________________________ Date______________

Rokers Golf Membership Form  

Membership application form for Rokers Golf Course valid for applicants 1st June 2011 to 31st May 2012.

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