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Application Form
This form is designed to assist you in submitting your application for membership. If you have any questions about this application process you should phone the club during business hours (9.00 am to 5.00 pm Monday to Saturday) on 02 9913 8282.
Fill in your details below and then click 'Print This Page'. You will need to sign the form yourself and obtain signatures from a proposer and seconder where relevant. If you are self-nominating, please sign the form. Once completed, please forward it to:
The Membership Secretary
Monash Country Club
PO Box 99
NARRABEEN NSW 2101
Membership Application Form
Applicant Details
Title:
--Please Choose--
Mr
Mrs
Ms
Miss
Dr
Prof
Membership Class:
--Please Choose--
7-day Member
5-day Member
Junior Member
Corporate Member
Intermediate Member
First Name:
Last name:
Address:
Suburb:
State:
Postcode:
Country:
Email address:
Work Phone:
Home Phone:
Previous Club Membership:
Corporate Application
Corporate Applicant Name:
Address:
Suburb:
State:
Postcode:
Office Phone:
Proposer Details
Title:
--Please Choose--
Mr
Mrs
Ms
Miss
Dr
Prof
First Name:
Last Name:
Address:
State:
Day Phone:
Membership Number:
Seconder Details
Title:
--Please Choose--
Mr
Mrs
Ms
Miss
Dr
Prof
First Name:
Last Name:
Address:
State:
Day Phone:
Membership Number:
Applicant Signature:
_____________________________________
Proposer Signature:
_____________________________________
Seconder Signature:
_____________________________________