Application Form for Trial Membership

BUXTON & HIGH PEAK GOLF CLUB.

TRIAL MEMBERSHIP APPLICATION FORM.

Name………………………………………………………………………………………………………………. 

Address…………………………………………………………………………………………………………… 

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

DOB…………………………………/Telephone:…………………………………………………………… 

Email Address: ………………………………………………………………………………………………… 

Trial Membership                              

I am not a Member of BHPGC and have not been during the last two years. 

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

_________________________________________________________________ 

Office Details: 

Payment Details: ………………………………GroupDiscount…………………………………….. 

Membership Start Date: ………………………………./End Date………………………………… 

Review Date: …………………………………………………………………………………………………..   

Membership No:  ………………………………/BRS PIN………………………………………………