Dartmouth Golf and Country Club

Membership Application Form

Title

First Name
Last Name
Date of Birth
Occupation
Address Line 1
Address Line 2
Address Line 3
Town
County
Post Code
*Preferred Email Address For Membership System
Telephone Home
Telephone Work
Mobile Phone
Category of Membership

CDH Number (Central Database Handicap)
Next of Kin (In the event of an accident)
Do you have any medical conditions our first aiders should be aware of
Please choose your Method of Payment

If you are making an online bank transfer please use the following bank details NatWest Sort Code: 52-30-20 Account Number: 06163599 use your first name and surname as the reference

If you are paying by debit or credit card over the phone please call the pro-shop on 01803 712011

Confirm

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