Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Renewal or New *RenewalNew MemberAre you renewing your membership or signing up as a new member?Membership NumberName *FirstLastDate of BirthDay *12345678910111213141516171819202122232425262728293031Month *JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecemberYear *Contact DetailsMobile Number *Email Address *Residential Address *Address Line 1CityState / Province / RegionPostcode *Postal codeDo you have a different postal address? *YesNoPostal Address *Address Line 1CityState / Province / RegionPostal Code a Address You Have you ever held a CBGC Membership? *YesNoHave you ever held a Golf Handicap? *YesNoYou may be eligible for a Introductory Golf Membership... *Select if Applicable - $0.00Introductory Membership - $420.00Based on the information provided you may be eligible for an Introductory Membership. If this isn't the case our membership department will be in touch.You may be eligible for a Junior Golf Membership... *Select if Applicable - $0.00Junior Golf Member - $50.00Based on the information provided you may be eligible for a Junior Membership. If this isn't the case our membership department will be in touch.You may be eligible for a 85+ Year Golf Membership... *Select if Applicable - $0.0085 Year + Golf Member - $470.00Based on the information provided you may be eligible for an 85+ Year Golf Membership. If this isn't the case our membership department will be in touch.You may be eligible for an 18 to 40 years Golf Membership... *Select if Applicable - $0.00Nineteen81 Golf Membership (18-35yrs) - $470.00Based on the information provided you may be eligible for a 18 to 40 years Golf Membership. If this isn't the case our membership department will be in touch.You may be eligible for a Outside 30km Membership... *Select if Applicable - $0.00Outside 30km Golf Membership - $600.00Based on the information provided you may be eligible for an Outside 30km Membership. If this isn't the case our membership department will be in touch.Golf Membership Type *Select if Applicable - $0.00Full Golf Membership - $1,200.00Weekday Golf Member (Monday to Friday ONLY) - $940.00Social Golf Member - $200.00Do you want Cobram Barooga Golf Club to be your Home Club? *YesNoTotal$0.00Credit Card *DropdownFirst ChoiceSecond ChoiceThird ChoiceDropdownFirst ChoiceSecond ChoiceThird ChoiceCheck Out
