Important - Out of Date

This page is out of date. Since it is still being indexed by search engines, this note is placed here.

The correct link to follow is https://www.levingolfclub.co.nz/member-signup

If you use the form below, we will get back to you as soon as possible, but the quickest way to sign up is to use the link above.

Membership Form

First Name*

Last Name*

Gender*

Male Female

Home Phone Number*

Work Phone Number

Fax Number

Mobile Phone Number

Address Line 1*

Address Line 2*

City*

Post Code*

Email Address*

Date of Birth

Are you currently a member or have you ever been a member of a Golf NZ affiliated golf club? Yes

Membership Number

Occupation*

Introduced By (Member):

Are you a New Zealand Citizen?*

Yes No

Membership Type Requested*

Privacy Statement: The information collected in this form will be used in accordance with the principles of the Privacy Act of 1993. The information will not be used for any other purpose than for a lawful purpose connected to the Club. By submitting this form, you acknowledge your rights to view and amend the information.

Please tick:

	Address:
	160 Moutere Road, Levin
	Phone:
	+64 (6) 368 6189
	Email:
	counter@levingolfclub.co.nz