City of Derry Golf Club - DOC by bjp11375

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									                                                                                         Secretary: (028) 7134 6369
                           City of Derry Golf Club                                       Fax:             7131 0008
                           49 Victoria Road,                                             Bar/Caterer:     7131 1610
                           Londonderry/Derry                                             Professional:    7131 1496.
                           BT47 2PU                                                      Email: info@cityofderrygolfclub.com
                                                                                         Website www.cityofderrygolfclub.com


    3 Year Centenary Full Membership Application Form
INTRODUCED BY [if applicable]:___________________________ Member Number: _________

Applicant’s NAME:                     ____________________________________________________________

HOME ADDRESS:                         ____________________________________________________________________________

                                      ____________________________________________________________________________

POST CODE:                            __________________________________________

TELEPHONE NO:                         __________________________________________

HOME E-MAIL ADDRESS:                  __________________________________________

OCCUPATION:                           __________________________________________

DATE OF BIRTH:                        __________________________________________

BUSINESS ADDRESS                      ____________________________________________________________________________

                                      ____________________________________________________________________________

TELEPHONE NO:                         ____________________________________________________________________________

WORK E-MAIL ADDRESS:                  __________________________________________

GIVE DETAILS OF OTHER CLUBS/SOCIETIES YOU HAVE BEEN A MEMBER OF, INCLUDING IF A PAST
MEMBER OF CITY OF DERRY AND IN WHICH CATEGORY

___________________________________________________                 ____________________________________________________

___________________________________________________                 ____________________________________________________

ANY OTHER INFORMATION THAT MIGHT ASSIST THE CLUB:____________________________________________________________



PROPOSED BY:        ____________________________________________            SIGNATURE:       ______________________________

SECONDED BY:        ____________________________________________            SIGNATURE:       ______________________________

APPLICANT’S SIGNATURE:        ____________________________________          DATE:            ______________________________

PARENT OR GUARDIAN
SIGNATURE [if applicable]:    ___________________________________           DATE:            ______________________________

 For Office Use                                                                                 Verified by Honorary Secretary:

 Date Application Received by Club
 Date Approved by Council and Membership Number
 allocated
 Subscription Amount Received & by what means                          Cash                         Date: ___/ ___/____
                                                   £                   Cheque
                                                                       Other
         The City of Derry Golf Club 3-Year Centenary
                      Membership Offer

  [The offer will close at NOON on Tuesday 1st December 2009]

Joining and Pay Dates            Subscription         Subscription       Length of
                                    Fee [*]           Period ends       Subscription
1st to 30th September 2009                       31st December 2010 Up to 16 months
1st to 31st October 2009             £400        31st December 2010 Up to 15 months
1st Nov to 1st December 2009                     31st December 2010 Up to 14 months
Years 2 & 3: Subscription Pay Dates
1st January 2011                     £400        31st December 2011      12 months
1st January 2012                     £400        31st December 2012      12 months

Notes:

    3-year Centenary Membership offer has been fixed at £1,200.00 for up to 40
       months, starting and payable on the dates given;
    Membership will be FULL MEMBERSHIP of the City of Derry Golf Club with
       playing privileges on both the Prehen [18 Hole] and Dunhugh [9 Hole] Courses;
    The 3-Year Centenary Offer will close at NOON on Tuesday 1st December 2009;
    The offer is open to any male or female person who was NOT a member of the
       City of Derry Golf Club on 1st January 2009;
    The 1st year membership fee is payable with the Centenary Membership
       Application Form to the City of Derry Golf Club before NOON on 1st December
       2009and will be processed by its Council under its standard procedures, and
    [*] – The offer is exclusive of standard GUI/ILGU levies.


Mr Tony McCann
Honorary Secretary
City of Derry Golf Club

4th September 2009

								
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