Name *

First Name

Last Name

Phone *

(###)

###

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Address *

City = town and/or city

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact

First Name

Last Name

Emergency Contact

(###)

###

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Agreement *

I understand that all information is confidentially treated in line with the requirements of the General Data Protection Regulations – GDPR. All members are bound by the articles, rules, and constitution of the club. Further information on the above areas can be obtained by writing to the club Secretary.

Tick to Agree

Declaration *

I declare that I am over the age of 16 and have read, understood and agree with the way my data will be used by Letterkenny Golf Club. *

Tick to Agree

Direct Debit Option?

Pay by direct debit (requires IBAN + preferred term)