CRM

Waitlist Application


Membership Category*
Nominee's Name
Prefix
First:
Middle:
Last:*
Suffix
Date of Birth*
Gender*
Email*
Address*
Nominee Address Panel
Click to add information
Home
Work Phone
Mobile*
Please select if you do not want your contact details included in the annual Members’ Syllabus
Current Golf Clubs
Why have you decided to join our Club?
Have you ever been refused admission or expelled from any Club?
Have you previously been a member at Thirteenth Beach Golf Links Ltd?
Golf Link Number
Would you like to transfer this to 13th Beach?
Referee 1
Member Number
Referee 2
Member Number
Please select your payment preference below: *
Credit Card Number
Expiry Date
Name on Card
CCV
Date of Signature