<p> FAIRBAIRN GOLF CLUB Inc Phone: 02 6257 9000 P.O. Box 1535, FYSHWICK, ACT 2611 Fax: 02 6257 9099 E-Mail: [email protected] Website: www.fairbairngolfclub.com.au</p><p>APPLICATION FOR MEMBERSHIP 2017/2018</p><p>Mr Mrs Ms Miss (please circle) Other…………</p><p>Surname…………………………..…………. First Name……………………………...... Initial………</p><p>Date of Birth…………………….. Occupation……….…...…………………...... </p><p>Home Address………………………………………………………………………...... Postcode…………..</p><p>Phone No: Home………………………..Work…..…..……………………Mobile….……………………...</p><p>E-Mail: (Please print) ...... </p><p>Current Golf Club………………………….…GA Handicap…………Golf Link Number………………… Home Club to be Fairbairn YES / NO</p><p>Membership Type (please circle) Benefits Eligible to play in any club competition FULL MEMBER GA/WGA handicap established and maintained $860.00 1 JULY 2017 to 30 JUNE 2018 No green fees for competition or social play Monthly Pro rata at other times Eligible to stand for Committee positions Four vouchers for 50% discount on green fees for guests. Eligible to play in any club competition FULL MEMBER - AGE DISCOUNT RATES GA/WGA handicap established and maintained 18 to 20 $ 260.00 21 to 23 $ 520.00 No green fees for competition or social play 1 JULY 2017 to 30 JUNE 2018 Eligible to stand for Committee positions Monthly Pro rata at other times Four vouchers for 50% discount on green fees for guests. No green fees payable SOCIAL MEMBER Not eligible to play competition $590.00 1 JULY 2017 to 30 JUNE 2018 No GA/WGA handicap maintained Monthly Pro rata at other times Can upgrade to full membership Four vouchers for 50% discount on green fees for guests</p><p>JUNIOR MEMBER - Under 18 years Eligible to play in any club competition $86.00 1 JULY 2017 to 30 JUNE 2018 GA/WGA handicap established and maintained Monthly Pro rata at other times No green fees for competition or social play</p><p>FULL TIME ADF & Defence APS receive a reduction on FULL Membership fees = $650.00</p><p>I hereby apply for Membership of the Fairbairn Golf Club and agree to abide by the Constitution and By Laws of the Club. I understand that this application is subject to acceptance by the Committee.</p><p>Signature……………………………………….. Date…………………….</p><p>Member Survey: (Please Tick if Applicable) OFFICE USE ONLY Part Time ADF, Reservist or Defence APS Proof of Age Sighted Ex ADF, Reservist or Defence APS ADF / Defence APS Pass Sighted Current Defence Contractor</p>