Apply online

Fill out the applicant information shown below and press the submit button and the club will contact you after you nomination has been approved at the next committee meeting.

* Indicates required field

Title *

Surname *

Given Name(s) *

Preferred Name *

Date of Birth (dd/mm/yyyy) *

Membership Type *

Contact Details:

Secondary Number / Mobile *

Email *

Residential Address *

Line 1

Line 2

City

State

Zip Code

Country

Occupation *

Postal Address (if different from above) *

Line 1

Line 2

City

State

Zip Code

Country

Current or Old golflink number (if applicable) **important** *

Name of your previous golf club *

Do you want Echunga to be your home club? *

Yes No

Do you want to use your own motorised buggy *

Yes No

Type of ride on buggy? *

Committee approval will be required whilst a medical certificate may be required if you wish to use in medal rounds / club championships.

Where did you hear about membership at Echunga Golf Club? *

Do you agree to the application conditions *

Yes No

By submitting this application for membership you agree to the details supplied being verified by an authorised member of the Echunga Golf Club. You also agree to your application details being displayed on the noticeboard at Echunga Golf Club for a minimum of 2 weeks prior to your membership application being considered.

OFFICE USE ONLY

Date submitted *

Accepted by committee *

Processed *

Submit