BALLYMOTE GOLF CLUB Ballymote, Co. Sligo, Ireland Tel (071) 9189059      087-2779974   Application for Membership

By my signature below, I hereby apply for membership of Ballymote Golf Club.  In the event of my application being successful, I agree to be bound by the rules of the Club applying at Ballymote Golf Club.  I have paid € to Ballymote Golf Club, to include playing rights on the course and my Club Subscription for the year.  
[ Subscriptions : 1st Yr Lady Beginner- € 135, 1st Yr Beginner Gent- € 150
Home Gent € 330, Home Lady:- € 210,  Family:- € 430,  Student:- € 100,
 Juniors € 60, Distant (Lady): € 160, Distant (Gent):- € 220,
Distant Husband & Wife: € 300. Retired Gent €230, Retired Lady €160

Membership Roster:

I prefer that my name be placed on the membership roster as follows:

Name:       
                                    

Address:  

I have resided at this address since: (date)

Home Telephone:     Work Telephone:        

Required Information (This information will be treated as confidential)

Present Golf Club Affiliation:     Date:

Current Handicap:           Reason for leaving:

Former Golf Club Membership:

Reason for leaving:   

If you have never been affiliated to a Golf Club previously and you are currently, or have been, a member of a Golf Society, please give details:

Golf Society:   Handicap:

Applicant's Signature:  _{-----------------------------------------------------------------------------}

Please complete this form, print and return it to the above address.