Membership renewal

First name

Last name

Birthday

Day

Month

Year

Membership number

Club Membership

Ordinary membership$125

Pensioner$90

Junior (Under 18)$0

Bowling Club

Ordinary Membership$120

Social Membership$40

Junior (under 18)$30

Golf Club

Ordinary Membership$185

Pensioner Membership$155

Junior (under 18)$60

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Membership declaration

I confirm that the information provided above is correct and that I am applying to renew my membership of the Guilderton Country Club. I agree to comply with the Club's Constitution, rules, policies and Code of Conduct as applicable.