Inschrijfformulier Expatriate/Short term membership

Employer*
Start of membership*
Expected end date*
Name*
First name Surname
Initials Maiden name
Birth date*

Dag
Maand
Jaar
Male/Female*
- Male
- Female
Nationality*
Address*
Address + number City Zipp code
E-mailaddress*
Phone numbers
Home number Mobile number Extra number
Handicap*
Handicap card
Toegestane bestandstypen: jpg, gif, png, pdf, jpeg, Max. bestandsgrootte: 32 MB.
Upload information from your last handicap authority about the status of your handicap
Digital picture*
Toegestane bestandstypen: jpg, gif, png, jpeg, pdf, Max. bestandsgrootte: 32 MB.
Upload a digital picture (which shows your face clearly) for our membership administration.
Signature*
- I hereby apply for a short term membership at Wassenaarse Golfclub Rozenstein. I have read the terms and conditions of the short term membership and hereby declare to comply with them
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Home number	Mobile number	Extra number