Playing out of Butter Mountain Golf & Leisure
Rejoining Membership Application 2021
NAME .. G.U.I Number ..
Mobile Email . .. ..
I wish to apply to Dublin Mountain Golf Club for full membership until Dec 31st 2021. I accept that when my membership expires I cease to be a member of the club and will be subject re-application in Jan 1st 2022. I state that I am aware of and agree to be bound by course rules and regulations, current terms & conditions (available on request)
* I am a member of another Club Y/N____ state name of club______________________ GUI no: ________
** I wish to Make Dublin Mountain Golf Club my home club Yes No
Single full payment of 750
3 Instalment Payments
1st instalment 250
2nd instalment 250 due Jan 1st 2021 made payable to Butter Mountain Golf & Leisure
3rd due Feb 1st 2021 - 60 payable to DMGC + 190 payable to Butter Mountain Golf & Leisure
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Signed Date of application