Brunston Castle Golf Course

Membership Application Form

Surname:*		Title:*
First Name:*		Other Names:
Address:*		Town:*
Post / Zip Code:*		Date of Birth:*	/ /
Email address:*		Telephone Number:*
Mobile Number:

Please select if renewing your existing membership

Please select the type of membership you wish to apply for:*
Full Adult		Country (outwith 50/60 miles)
Senior		Overseas Member
Spouse		Adult Beginner (1 year only)
Senior Spouse		Young Adult (18 - 21 years)
Non Playing Member		Junior (12 years & under
Junior (13 - 17 years)

Please indicate if you would like to join Brunston Castle Golf Club at a cost of £40.00 (made payable to Brunston Castle Golf Club)

Please tick the options below to indicate your payment method:*
Cash	Cheque/Credit Card (Made payable to DHM Leisure)	Standing Order