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Please complete and mail to:

Bermuda Golf Association


P.O. Box HM 433
Hamilton HM BX

APPLICATION FOR MEMBERSHIP


Please print all information

Full Name____________________________________________________________
Date of Birth __________________ (dd/mm/yy)
Home Address ________________________________________________________
Mailing Address _______________________________________________________
Home phone ____________________ e-mail _______________________________
Work phone ____________________

Cell ____________________

__________________________________________________ Handicap___________
I hereby apply for membership of the Bermuda Golf Association and, if accepted, will abide by the Constitution and Rules
of the Association and any regulations made by the General Committee. I declare that I am an Amateur Golfer.

Signed _______________________________________ Date____________________

Payment Options. $30 for the calendar year

o Visa o MasterCard o Discover o Direct wire transfer


Account #............................................................................................................
Exp. Date........................................
I agree to and authorize the Bermuda Golf Association to charge the membership fee on
the credit card submitted on this application.
Entries with invalid or incomplete credit card numbers will be returned.
Cardholder Name.............................................................................
Cardholder Signature.......................................................................

Direct wire transfer details; Bank of Butterfield account # 20006060072135100 Bermuda Golf Association.
(Please include your name so we can correctly identify it.)

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