Membership Renewal 2024
For membership from 1st April 2024 to 31st March 2025
*please make sure you complete the following in full

Name……………………………………………………………………….………………………………………

Address…………………………………..…………………………………………………………………………

…………………………………………………………………………………………………………………………

Postcode…………………………………………………………………………………………………………..

Telephone…………………………………………..Mobile……………………….…………………………

Email**……………………………………………………………………………………………………………..

Date of Birth**………………………………………………………………………………………………….


Full Member £70

Senior (over 60) £40

Junior (under 18) FREE

Signed………………………………………………………………………………………………………………
Closing date for renewal of membership 30th April 2024 – After this membership application pricing will apply

Vicarage road
Harborne
Birmingham B17 0SN
Tel: 0121 427 1204
Email:harbornechurchfarm@googlemail.com


Please make cheques payable to ‘Harborne Church Farm Golf Club’ or pay direct by bank transfer:
Sort code: 30-19-14
Account No: 02655199
Account name: Harborne Church Farm Golf Club


Receipt No………………………………………….Date………………………………………………………

I hereby agree undertake the responsibilities of membership, to abide by the club constitution, rules and policies. I accept the authority of the club Committee on all matters relating to membership. I give permission for the club to store the above information for the duration of my membership