Playing out of Butter Mountain Golf & Leisure

 

Rejoining Membership Application 2021

 

(Please print)  

 

   NAME ………………………………………..    G.U.I Number ……………..

 

   ADDRESS ………………………………………………………………..……

                 

     ……………………………………………           D.O.B …….………………

 

   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

 

Payment options

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 …………………