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1st October 2012
    Through to
30 September 2013

                                       Ellifoot Lane, Burstwick. HU12 9EF Tel: 01964 670112
  Dear Sir/Madam,

  Thank you for your interest in Membership at Burstwick. In this application there is
  information on the Membership itself, Green Fees and the relevant forms to fill in.

  Currently, the membership year is rolling and this application form is for a membership from
  1st October 2012 – 30th September 2013.

  What the Membership Includes

  A membership at Burstwick Country Golf gives you:

         Flexibility to play Golf at anytime for free (5day Members: Weekdays only)
         Access to the Gate Code (to play Golf before or after Opening Hours)
         Access to our Locker and Changing Rooms
         Permission to enter weekly Club Competitions, Monthly Medals, Opens at Burstwick
          and Other Courses, The Humber Alliance, and Hull & District
         Prize money credit account using a swipe card
         Discount on food from our lunch and evening menus (swipe card needed)
         An Official Handicap

  PGA Tuition

  Professional tuition is available from our Resident PGA Professional Stewart Fraser.

  The lessons include:

         Professional one to one or group coaching in private tuition room or on the course.

         Video Analysis

  Prices for tuition are as follows:
                                                     Members                Visitors
  40 Minute Lesson                                     £20            £25
  GASP Software (Home)                                 £25            £30
  1 Hour Short Game                                    £25            £30
  Junior Lesson                                        £12            £14
  Junior Club (8 Week Courses)                         £36            £36
  6 Hole Playing Lesson                                £40            £45

        For more information or to book please call the Clubhouse on 01964 670112.
Clubhouse Opening Times

Monday to Wednesday                             8:00am    -      8:00pm
Thursday and Friday                             8:00am    -      11:00pm
Saturday                                        7:30am    -      11:00pm
Sunday                                          7:30am    -      6:00pm (5pm in Winter)

Driving Range Opening Times

Monday to Friday                                8:00am -         8:00pm
Saturday and Sunday                             7:30am -         6:00pm (5pm in Winter)

Range Prices             50 Balls - £2.50                250 Balls - £11.00
                         100 Balls - £4.50               500 Balls - £21.00
                                                         1000 Balls - £40.00
Payment Options

Green Fee

       Cash
       Cheque (made payable to Ted Key & Son Farmers Ltd)
       Direct Debit (Monthly Payments)


Once application is obtained, if accepted you will receive an envelope containing the
following items:

       Membership Confirmation letter
       Bag Tag
       Fixtures Book

Terms and Conditions

After an applicant has submitted these forms for processing, there is a 14 day cooling off
period in which the applicant is permitted to change their mind for the membership. After
which time, the applicant may not be refunded and their membership cannot be cancelled.
This means that Direct Debit customers are required to pay all of the payments through to
the end of the membership year, or a penalty will be applied.

We look forward to hearing from you.

Yours sincerely,

David E. Key
Managing Director
Burstwick Country Golf

                       Subscription Fees for Membership
                    (1 October 2012 – 30th September 2013)

     7 Day Membership                     Husband & Wife                            £1010
                                          Single                                    £530
     5 Day Membership                     Husband & Wife                            £820
                                          Single                                    £430
     Senior Membership (65+)              Husband & Wife                            £855
                                          Single                                    £450
     Country Member *                     Husband & Wife                            £820
                                          Single                                    £430
     Intermediate                         Age 22-25                                 £275
     Student                              Age 18-21                                 £175
     Junior                               Age 12-17                                 £60
                                          Age 0 -11                                 £50

   All juniors applying for membership have to be at a suitable level
(possibility of assessment by PGA professional), or an existing member
                     of another club, to be accepted.
  * Country member must live at least 20 miles away from the Golf Club on the AA Route Planner.

                                        Joining Fees

                                         Adult             -       Free
       Juniors / Intermediate / Student                    -       Free

                                        Visitor Fees

                                                                            18 Holes
Adult (Weekday)            -     With Member                                £13.00
                           -     Without Member                             £20.00
Adult (Weekend)            -     With Member                                £15.00
                           -     Without Member                             £25.00
Junior (Anytime)           -     With or Without Member                     £9.00

                     Bank Holidays are charged at weekend rates.

                                    Application Form

All applicants will be required to complete a questionnaire with the Club
Secretary before their application is processed.

Personal Details                                                 Date:      /    / 2012

Forename                                        Surname

Post Code                                  Home Tel
Mobile                                     Business Tel
Date of Birth                                Occupation
Email Address

Membership Details

Membership Type
(e.g. 7 Day Gentleman)
Joining Fee         £                        Payment Method
Green Fee           £                        Payment Method
Total               £
If a member introduced you,
Who was it?
Do you have any illnesses or
disabilities the club needs to be
aware of?
Handicap                                How long have you
                                        played golf?

   All juniors applying for membership have to be at a suitable level
(possibility of assessment by PGA professional), or an existing member
                     of another club, to be accepted.

Receipt Needed?                                                  YES / NO

Do we have your permission to publish your
Name and Telephone Number in the                                 YES / NO
Members’ Handbook next year?

I have read the full application form and I accept and understand all of the regulations and
requirements of Burstwick Country Golf.

Direct Debit Customers only: I have read the Terms and Conditions on the back of the Direct
Debit form, and agree and understand them all.

Applicant Signature __________________________________

Please return to: Burstwick Country Golf, Ellifoot Lane, Burstwick, Hull, HU12 9EF

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