Golf Membership Application Form

Select Your Course and Product
Step 2 Fill In Your Application Form

You are registering for:

Amorello Golf Club, Affiliated membership

* Denotes Required Fields
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Did a friend refer you to Golf Connection?
Delivery Note Please enter your friend's Email Address (optional):


If you can't reach your friend for his/her email address then please contact info@golfconnection.co.za before you complete your application. Bonuses are only paid out if an email address is inserted here.
 
Login Details
Username: *
Password: *
Confirm Password: *
 
Personal Details
Title: *
Initials: *
First Name: *
Middle Name(s):
Surname: *
Gender: *
Date of Birth: (yyyy / mm / dd) *
ID Type:
South African ID
Passport
ID or Passport Number:
Company Name:
Occupation:
Current Handicap: *
 
Contact Details
Tel No:
Fax No:
Cell No: *
Email: *
Confirm Email: *
 
Physical Address
Address Line 1: *
Address Line 2:
Address Line 3:
City: *
Province/State: *
Postal Code: *
Country: *
 
Postal Address
 
Same as Physical Address:
 
Address Line 1: *
Address Line 2:
Address Line 3:
City: *
Postal Code: *
Country: *
Delivery Note Preferred Handicap Card Delivery:
Physical address
Postal address
Collect card
 *
 
Delivery Note Refer a friend to us
Full name of friend to invite:
Email of friend to invite:
Confirm email of friend:
 
How did you hear about Golf Connection? *