Join up - Paraparaumu Beach Golf Club

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Application for membership at Paraparaumu 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 clicking here.

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?*

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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.

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	ADDRESS:
	376 Kapiti Road
	Paraparaumu Beach
	Paraparaumu 5032
	PHONE:
	(04) 902 8200
	EMAIL:
	golfshop@pbgc.co.nz