Membership Application Form

*Title

*First Name:
*Last Name
*Date of Birth
*Occupation
*Address Line 1
Address Line 2
Address Line 3
*Town/City
*County
*Post Code
*Preferred Email Address For Membership System
Telephone Mobile
Telephone Home
Telephone Work
Category of Membership: Male

Please name any other Golf Clubs to which you belong and current official handicap. If you would like to move your handicap to The Lambourne, please inform your existing club handicap secretary to change your home club to The Lambourne.
Category of Membership Female:

CDH (Central Database Handicap Number 10 Digits)
Car Registration Number
Car Model
Next of Kin (In event of accident)
Next of Kin (Phone Number)
Do you have any medical conditions that our first aiders should be aware of an emergency?
*How did you hear about The Lambourne?

*I understand that The Lambourne operates a policy where the initial levy payment must be used by the end of the subs year or it will be forfeited (Please enter Initials in box)
Please choose your method of payment below
Monthly Direct Debit Sort Code: 40 02 44, Account Number: 62513005, Account Name: Jeffrey & Hillary UK Ltd T/A The Lambourne Club

If you are paying by Direct Debit, please indicate how you would like to pay your 1st payment.

One Payment via BACS Sort Code: 40 02 44, Account Number: 62513005, Account Name: Jeffrey & Hillary UK Ltd T/A The Lambourne Club

One Payment Debit/Credit Card: Please call 01628 666755 or visit the Pro Shop (no Amex cards please)

Cash: Please visit the office or pro-shop

As a member, we will send you a newsletter every quarter and we will email you invites to club events and competitions. If you do NOT wish to receive this information, please un-tick the box below.
Confirm

Upon submission of this application form, your personal data will be entered into a membership management system on a password protected computer. Paper copies will be stored in manually locked cabinets.
If you wish to view the information we hold on you, please request this by emailing info@lambourneclub.co.uk.

*Please note, you can unsubscribe at ANY time by clicking the unsubscribe button at the bottom of our emails.

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Membership Application Form

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