Name:
Address:
Telephone Number:
Mobile Number:
Email Address:
Locker Number:
Renewal Date:
Membership Type:
I would like to become a Platinum 7 Day Member
I would like to pay Annually at £780 Quarterly at £816 (£204 x 4) Monthly at £836 (£69.70 x 12)
I would like to become a Gold 5 Day Member
I would like to pay Annually at £620 Quarterly at £652 (£163 x 4) Monthly at £668 (£55.7 x 12)
Locker Type:
I would like a Small Handbag Locker at £15 per year
I would like a Large golf bag size locker at £40 per year
Mandatory Insurance Cover:
I would like to pay £4 for public liability insurance
I confirm that I already have public liability insurance
Payment method:
Debit Card Free Lloyds Bank: PRGolfClub.com Ltd, Sort Code 30 14 71, A/C Number 16881168. Please include your name as a reference on Standing Orders
Credit Card £15
Cheque Free Please make cheque payable to PRGolfclub.com Ltd
Payment Summary
Annual Membership: Membership £ Insurance £ Locker £ Credit Card £ Total Due £ Paid by Debit Card or Cheque or Credit Card Y/N
Monthly / Quartlerly Membership: Insurance Locker Credit Card Total Due Paid by Debit Card or Cheque or Credit Card Y/N
