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Please fill out and submit form.

Please ensure photo of Identification is completed and all security questions are answered.
25Questions
  • 1
    Please enter First Name and Last Name
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  • 2
    Day Month Year ie 01/01/2000
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    Pick a Date
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  • 3
    Please Select
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    • Male
    • Female
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  • 4
    Please enter your full residential address and not mailing address
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  • 5
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  • 7
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  • 8
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  • 9

    IDENTIFICATION

    Place your ID on a flat surface with a white background.

    Select the TAKE PHOTO option below then using your device back camera, please take a legible photo of your license.  Or you may select the option ADD FILE and attach a jpeg or pdf of your ID.

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  • 10
    Place ID on a flat surface with white background. Select Take Photo below or Select Next to Upload a File.
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  • 11
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
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  • 12

    PLEASE NOTE IF YOU CHOOSE TO LEAVE ANY OF THE FOLLOWING BLANK YOUR APPLICATION MAY BE REJECTED.

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  • 15
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  • 16
    • I hereby agree to abide by the rules and Consitution of the Katherine Country Club.

    • I also agree to the KCC Patron Code of Conduct.

    • Copy of the Constitution is available upon request.

    • Membership is temporary until approved by the Board.

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  • 17

    PLEASE MARK THE APPROPRIATE MEMBERSHIP BOX.

     

    • Pensioners (with a valid NT Pensioner/Carer Card) are 50% of the normal fee.
    • All membership fees include GST
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  • 18
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  • 19

    Full Golf Membership includes a free Club Polo Shirt.  Please specify your size below.

    NOTE: Small fit I consider adding 1 size.

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  • 20
    Please Select
    • Please Select
    • XS
    • S
    • M
    • L
    • XL
    • 2XL
    • 3XL
    • 4XL
    • 5XL
    • 6XL
    • 7XL
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  • 21
    Please Select
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    • 8
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  • 22
    /
    Pick a Date
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  • 23
    Clear
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  • 24

    PLEASE SELECT + TAB NEXT TO THE MEMBERSHIP TYPE.

    THEN SELECT THE MONTH OF TODAYS DATE.

    THIS WILL APLLY THE PRO RATA MONTHLY DISCOUNT FOR THOSE JOINING AFTER APRIL.

    ie Full Golf Membership "Month Joined" August

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  • 25
    PLEASE CHOOSE THE CURRENT MONTH BELOW THE MEMBERSHIP OPTION TO APPLY PRO RATA MONTHLY DISCOUNT. ie Full Golf Membership "Month Joined" August
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        ORDER SUMMARY
        Total costAUD
        • Full Golf MembershipFull Golf Membership
          $500.00AUDRemoveEdit
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        • Mid Week Golf MembershipMid Week Golf Membership
          $350.00AUDRemoveEdit
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          Subtotal: $0.00AUD
          Total cost $0.00AUD
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