Application for Membership Form - Please print, complete in capitals and post/fax to Olga Ebsworth at Bedford & County Golf Club Green Lane, Clapham, Bedford MK41 6ET     fax: 01234 357195
Name (in full):	.................................................
Date:	.................................................
Private Address:	................................................. .................................................
Home tel no.....................................	Business tel no.................................
Date of Birth...................................	Occupation......................................
Class of Membership Required ..............................................	Official Club Handicap.......................... (please attach handicap certificate\reference)
Name of club(s) applicant has been a member	................................................ ................................................
Proposed by ..................................... Print Name ........................................ Proposer Recommendation ............... ........................................................ ........................................................ ........................................................ ........................................................	Seconded by..................................... Print Name ........................................ Seconder Recommendation ............... ........................................................ ........................................................ ........................................................ ........................................................
Membership Committee notes ................. ............................................................. .............................................................	............................................................. ............................................................. .............................................................

1. The Applicant must be proposed and seconded by two full members of the Club. 2. The Proposer and Seconder should submit, on the application form, recommendations           based upon an adequate personal acquaintance with the candidate. 3. The Applicant agrees to comply with the rules of the Club.

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