Official Registration Form
 
   
 
LABOUR WEEKEND 2007

Centennial Registration Form

The Club is updating it's list of current and past members and would appreciate your help in providing your latest contact details. This is in preparation for celebrating the Club's Centennial in 2007

Your completion and return of this form as soon as possible would be appreciated. Please post, fax or email this form back to the Club to the appropriate address detailed below.

Centennial Registration :PO Box 39    Kaiapoi      New Zealand

Surname ...........................................................
First Name  ..........................................................
What title do you prefer to use?
Mr / Mrs / Ms / None / Other …………….
Are you a Current Member of the club?
YES  /  NO
What is (or was) your membership category?
Full Active / Mid week / Summer / Intermediate / Junior
What year did you join the Club?
..........................................................
Do you have relatives who are (or were) Members?
 ..........................................................
What is your Postal Address?  ..........................................................
Street No. / Street Name
 ..........................................................
Suburb
 ..........................................................
City
 ..........................................................
What are your Contact Phone Numbers?  ..........................................................
Home  ..........................................................
Work  ..........................................................
Cellphone  ..........................................................
Facsimile  ..........................................................
What is your Email Address ?
Home  ..........................................................
Work  ..........................................................
What is the best way for us to contact you? By post  /  by fax  /  by email

The Club is planning a number of functions over Labour Weekend 2007 including a Cocktail Evening, Golf and a           Dinner.  More detailed information will be provided later. You, your partner and friends with connections to the Kaiapoi     Golf Club are invited to attend any or all of the planned functions.

Are you interested? YES  /  NO (Please Circle)

Phone/Fax: 03 327 7320   Email: kaiapoi.golf@xtra.co.nz Website: www.kaiapoigolf.co.nz

Club Achievements Committees: Club Achievements Playing: