WOODHILL COUNTRY CLUB P O BOX 66060 WOODHILL, 0076 TEL 012-998 0011, FAX 012-998 0012 MEMBERSHIP NUMBER:

APPLICATION FOR MEMBERSHIP OF WOODHILL COUNTRY CLUB

I hereby apply to PJM Management trading as WOODHILL COUNTRY CLUB (PTD) LTD (called the "Woodhill Country Club") for membership of the club. The type of membership applied for is stipulated below.
The following particulars relate to me: Full Name: Nick Name: ID Number: Residential Address: Postal Address: Resident at Woodhill Estate: ( Mark x) Telephone Number: (Home) Email Address: Handicap Locker Nr: Employer details Telephone Number Office Company Name: Postal Address: Code: Fax Number: (R150.00 Locker rental fee per year) Yes NO Cellular No: Code: Stand nr:

Next of Kin details: Name and Surname Relationship Residential Address: Telephone Number: (Home) Cellular No MEMBERSHIP CATEGORY - PLEASE TICK GOLD FULL MEMBERSHIP HUSBAND & WIFE PENSIONER STUDENT STAFF

GOLD COMBINDED

JUNIOR

COUNTRY

5-DAY MEMBERSHIP

UNDER 30

OTHER

Names of other clubs of which you are / have been a member: Membership Number of previous clubs: Has your membership ever been terminated by any other club?: If yes, state reason: PROPOSED BY: _____________________________________________ MEMBER NUMBER: _____________________

If elected to Membership, I hereby agree to fully abide by the constitution of PJM Management trading as Woodhill Country Club. I agree to pay the undermentioned fees as soon as this application is accepted. Any provision in this contract which is contrary or ultra-vires to the Consumer Protection Act, the provisions of the CPA will prevail. The annual membership period is from 01 March of the current year untill 28 February of the following calender year. RESIGNATIONS MUST BE SUBMITTED IN WRITING I agree to accept SMS, E-Mail and Postal correspondence from Woodhill Country Club: YES NO
DATE:

APPLICANT SIGNATURE

OFFICE USE ONLY

ENTRANCE FEE: PRO-RATA SUBS: APPROVED BY MANAGEMENT: ANNUAL SUBSCRIPTION: TOTAL PAYABLE: CARD FEE: REC.N UMBER Date: