Membership Enquiry

To Apply for Membership at Southport Golf Club, please complete the application form.

A hard copy can be download to print out and complete:

You can come on in and pick one up ,or you can use the online form below:

Please complete the following:

Title
Surname:*
Initials:
Given Name(s):*
Preferred Name:
Date of Birth:*
Address*
Street Address City ZIP / Postal Code
Primary Phone number:*
Other Phone:
Other Phone:
Fax:
Email:*
Occupation:
Employer:
Work Address:
Street Address City ZIP / Postal Code
Permanent Resident of the Gold Coast:
- Yes
- No
Number of Years:
Visa:
Visa Status:
- Permanent
- Pensioner
Next of Kin:
Relationship:
Next of Kin Phone:
Membership Type:*
If the nominated category is closed, do you wish to enter a lesser category until vacancies become available?:
- No
- Yes
Details of other sporting and social club membership past and present:
Golf Experience:
Handicap:
GolfLink No:
Home Club:
Have you ever been refused membership at any other club?*
- Yes
- No
If applicable - Members of Southport Golf Club that will support my nomination:
Proposer:
Seconder:
Period known:
Period known:
- Do not know a member? Please tick
Name and Contacts of 3 Referees:
1. Name:
Phone:
2. Name:
Phone:
3. Name:
Phone:
How did you find out About Southport?:
Please Select:*
I hereby agree that,*
- if elected, to abided by the Rules and By-Laws as laid down in the Memorandum and Articles of Association in force at present, or may be decreed in future by the Committee of Management
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Acceptance of the application is conditional upon being accepted by the management committee.

If applicable - Members of Southport Golf Club that will support my nomination: