MEMBERSHIP APPLICATION
 

Please complete and an application request will be sent to our offices. You will be notified within one(1) week to confirm the outcome of your application.

  * Fields are mandatory
  * Please complete in capital block letters
     
  ID NUMBER
  TITLE
  INITIALS
  FULL NAMES
  SURNAME
  NICKNAME
  MALE/FEMALE
  DATE OF BIRTH (DAY / MONTH / YEAR)
  AGE
  OCCUPATION
  POSITION
  POSTALL ADDRESS
  CODE
  LANDLINE
  WORK PHONE
  FAX
  MOBILE
  EMAIL
  BILLING ADDRESS (POSTAL / RESIDENTIAL)
  RESIDENTIAL ADDRESS
  CODE
     
  Became a member on:
     
  DAY
  DATE
  MONTH
  YEAR
     
  * New member?
     
  YES
  NO
     
  * Have you previously been a member of Akasia?
     
  YES
  NO
     
  * Are you or have you been a member of a golf club?
     
 
   
  Current handicap index
 
   
  Name of last Golf Club
 
   
  * Membership category applying for (Please select from dropdown menu). For Company / Corporate membership, please contact the club.
     
 
   
  * Payment method:
     
 
   
  Card details:
     
  NUMBER
  STRAIGHT / BUDGET
  MONTHS
  CVC
  EXPIRY DATE
     
   
 

Please use your name / membership number when making payments.
Please email proof of payment to admin@akasiacc.co.za or fax proof to 012 542 4073.
BANKING DETAILS : Akasia Country Club. FNB Pretoria North. Code : 25 10 45. Account No. : 611 000 78743.

 

Please note that our financial year runs from the first of March to the end of February each year.
Your membership fees will therefore be adjusted proportionately according to your application date. GNGU Affiliation and Admin in full.

 

According to the Constitution of Akasia Country Club, a written resignation must be handed in one(1) month prior to the expiring date.

   
 


 
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