Join up - Omaha Beach Golf Club

Join Up

Application for membership at Omaha Beach Golf Club be applied for by the completion of the following form. Should you wish to discuss any aspect of your application please feel free to contact the club direct by emailing admin@omahagolf.co.nz or calling (09) 422 7551

Membership Form

First Name*

Last Name*

Gender*

Male Female

Home Phone Number*

Work Phone Number

Fax Number

Mobile Phone Number

Address Line 1*

Address Line 2*

City*

Post Code*

Email Address*

Date of Birth

Are you currently a member or have you ever been a member of a Golf NZ affiliated golf club? Yes

Membership Number

Occupation*

Introduced By (Member):

Are you a New Zealand Citizen?*

Yes No

Membership Type Requested*

Privacy Statement: The information collected in this form will be used in accordance with the principles of the Privacy Act of 1993. The information will not be used for any other purpose than for a lawful purpose connected to the Club. By submitting this form, you acknowledge your rights to view and amend the information.

Please tick:

	Address:	North West Anchorage Omaha Beach NZ
	North West Anchorage Omaha Beach NZ
	Phone:	09-4227551
	09-4227551
	Email:	gm@omahagolf.co.nz
	gm@omahagolf.co.nz