Please complete this form to apply for a membership.Membership Category*Please select.OrdinaryCountryLimitedTemporaryIntermediateJuniorPersonal InformationName* Title Mr.Mrs.MissMs. First Last Preferred Name*Date of Birth* DD MM YYYY Occupation*Residential Address* Street Address Address Line 2 City State Post Code Postal Address* Tick if same as residential. Street Address Address Line 2 City State Post Code Home Phone*Mobile PhoneEmail Address* Emergency Contact NameEmergency Contact PhoneGolf Club MembershipsPrevious Club/sGolfLink NumberDo you wish to have Bribie Island Golf Club as your Home Club?*Please select.YesNoApplicant Agreement I, the undersigned, hereby make application for Membership of the Bribie Island Golf Club Limited. I acknowledge that the Committee of the Club may at their sole and absolute discretion refrain from or refuse to elect me to membership without assigning any reason. If elected, I undertake to abide by the Articles of Association, Club By-laws and other Rules or determinations of the Club. I understand my personal information will only be used by the Club and not passed to any other party, other than GolfLink for the purposes on handicapping, unless we are legally obliged to do so. Should you wish to access your Club Information, you may do so through the member’s section of the Club website or, upon reasonable notice, at the Club’s Office. You will be able to access your personal information held by GolfLink via their website or by request to them. I understand that a proposer and seconder may be required to complete the application. I further understand that my application is required to be fully approved by the Board at the next Board Meeting.Do you wish to receive the Annual Report and any Notices via email?*YesNoSignature of Applicant*By using this signature, you acknowledge that you have signed this application form. Example: John Doe or jdoePhoneThis field is for validation purposes and should be left unchanged.