1. sports
2. golf

MEMBERSHIP APPLICATION FORM
2015/2016
We hereby nominate
Dr / Mr / Mrs / Ms / Miss / Master
(Surname)
(First Name/s)
Preferred Name
Residential Address
Postal Address (if different)
Telephone:
(Home)
(Mobile)
(Business)
Email:
Date of Birth
Occupation:
Drivers Licence/Photo ID
Viewed by
Previous Club
Will Mudgee Golf Club be your home club?
Yes / No
Golflink Number
Current or most recent Golf Australia handicap
Handicap: To obtain a new handicap you will need to complete and submit 3 score cards that have been signed by a member
Type of Membership
Full Playing Member
Limited Playing Member
Country Member
Social Playing Member
Cadet Playing Member
Social Member
Where would you like find out what’s happening at Mudgee Golf Club? (Please tick)
Website
Radio 2MG & Real FM
Email
Letterbox Drop
Club Newsletter
Social Member
Twitter
Other (please specify)
Junior Playing Member
Newspaper
Facebook
Privacy Statement: The Mudgee Golf Club is subject to the provisions of the Privacy Act 1988. The personal information provided by your member’s application
will be used to process your membership application. Failure to provide all of the required information may result in your applications being rejected. You have
the right to access and correct any of your personal information that the Club holds about you.
The Club does not usually disclose your personal information to any other organisation or person unless there is a legal requirement to do so. The Club may
disclose your information to third parties that provide services under contract to the Club. These contracts require the third party to keep your personal
information confidential and secure. Your personal information, including information about you obtained as a result of you placing your membership card in a
gaming or other machine (not ATMs) may be used by the Club for marketing purposes to improve our service and to provide you with the latest information
about those services and any new related services and promotions.
If you do not wish to receive club newsletters, marketing material and information about promotions via email tick here
Do you wish to receive an Annual Report?
Yes / No
If Yes, how would you like to receive it?
EMAIL / POST
We, the undersigned consider the above nominee an eligible member in every way.
PROPOSER (Print Name)
Signature
Membership No.
SECONDER (Print Name)
Signature
Membership No.
I, ……………………………………………………………………………………. of ……………………………………….………………………………………………………………,
desire to be a member of the Mudgee Golf Club Ltd and request you to enter my name on the register of members accordingly.
I agree to be bound by your Memorandum of Articles of Association and Rules or By-Laws made there under.
Signed: ……………………………………………………………………………………………………………….. Date: ………………………………………………………………
The table below represents the membership categories and fees for the 2015/16 financial year.
Membership Type
Full Playing Men & Ladies
Senior Full Playing
Cadet (18-23 years)
Country
Limited Playing
Junior (Under 18)
Access
This membership entitles you to:
 Play 7 days a week 365 days a year
 $7 for non-competition rounds
 Golf Australia handicap, golf link card and number
 Full voting rights
This membership entitles you to:
 Same conditions as Full Playing
 Must have 10 year service and be over 65 at 30 June
 Full voting rights
This membership entitles you to:
 Play 7 days a week 365 days a year
 $7 for non-competition rounds
 Golf Australia handicap, golf link card and number

No voting rights
This membership entitles you to:
 Available to those who reside more than 30 kilometres from
Mudgee Golf Club & MUST be a member of another club
 Play 7 days a week 365 days a year
 $7 for non-competition rounds
 Golf Australia handicap, golf link card and number
 No voting rights
This membership entitles you to:
 Play 7 days a week 365 days a year
 $12 for non-competition rounds
 Golf Australia handicap, golf link card and number
 Entitlement to play a maximum of 10 competition rounds per
membership year
 Ability to purchase a full membership at pro-rata rates if you
exceed 10 games
 Unable to enter Club Championships & Mudgee Open
(welcome to play in daily competitions for those events), Not
eligible to represent the club in Pennants.
** Note: Limited members must be full members prior 1/1/16 to
qualify to play in Club Championships or Pennants for the Club.

No Voting rights
This membership entitles you to:
 Play 7 days a week 365 days a year
 $2 for non-competition rounds
 Golf Australia handicap, golf link card and number

No voting rights
Introductory Golf
Membership
This membership entitles you to:
Annual Fee
Affil. Fee
$575
$45
$620
$545
$45
$590
$340
$45
$385
$340
$45
$385
$270
$45
$315
$0
$30
$30
$100
$45



“Try before you
buy”
Social
Non - Golfing
Three month membership
All the conditions of a Full Member
Upgrade to Full / Limited membership and be given credit
towards new membership category
 Cannot have been a previous golfing member (any category) of
Mudgee GC for previous five (5) years – since 30/6/2010 and
can only hold this membership once ever.
 Unable to enter Club Championships & Mudgee Open
(welcome to play in daily competitions for those events), Not
eligible to represent the club in Pennants.
** Note: Introductory members must be full members prior 1/1/16
to qualify to play in Club Championships or Pennants for the Club.
 No voting rights
This membership entitles you to:
 Use of club house facilities, discounts and promotions / no golf
 No voting rights
$145
$10
n/a
$10