Membership Application

Click here to Download and Print Application form - or use the the form below to apply on line

Do you want to take up the 125th Anniversary Offer? Please selectYes please, I want to make a one off payment now and pay no more until April 2019.No thanks, I just want the pro-rata payment until the end of March 2018.

Title Please selectMrMrsMissMsDr

Forename
Surname
Date of Birth
Home Phone
Mobile Phone
Address
Postcode
Email
Previous Worsley Member Please selectNoYes

Any Previous Golf Club
Handicap
CDH NUMBER if any
Home Club for Handicap
Membership Type Please selectMens 7 dayMens 6 dayMens 5 dayLadies 7 dayLadies 6 dayLadies 5 dayCASC * (Conditions Apply)Off PeakIntermediate 29-31Intermediate 26-28Intermediate 22-25Intermediate 19 - 21Student 18+Junior 10-18Junior Cadet - under 10Country MemberMale Social / Non PlayingLady Social / Non Playing

Payment Type Please selectCashCredit CardCheque

How did you hear about us? Please selectWord of mouthClub Web-siteOther Web-siteFacebook Page AdvertFacebook Club VideoPlayed here beforeRecommended by current member

It will help greatly with our Marketing if you would please say in a few words why you want to join Worsley GC ?
If recommended by member, please enter his / her name