GSM Golf Membership Application |

Please Select Membership Option*

Name*

Title First Last

Gender*

Male
Female

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Mobile

Email*

Date of Birth*

Have you previously held an official handicap with a Golflink number:*

Yes
No

What was your Golflink Number:

Would you like to make GSM your home club*

Yes
No

DIRECT DEBIT PAYMENT DETAILS

Please Note: To activate your GSM Golf Ezi Membership the first installment of $39 is payable now via online credit card. Ongoing monthly payments will commence after the Direct Debit Form has been completed and returned to GSM Golf. Please download the form and refer to one of the return options below:

Download & Send Your Direct Debit From

Download the Ezi Direct Debit Form.

By Email:
membership@gsmgolf.com.au

By Post:
GSM Golf Club – PO Box 93, Rosebud VIC 3939

Total

$ 0.00

Credit Card

Card Details

Cardholder Name

Name

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