Hampshire, Isle of Wight and Channel Islands Golf Captains

Secretary: Martin Bennet Bramble Cottage, 52 Rodwell, Hilmarton, Calne, SN11 8SL
Tel: 07785 983201 Email: secretary@hampshiregolfcaptains.co.uk
Website: www.hampshiregolfcaptains.co.uk
APPLICATION FOR MEMBERSHIP
I wish to become a member of The Hampshire, Isle of Wight and Channel Islands Golf Captains

Please note that we only collect this information for our own records in order to make contact with you regarding events and to send you the annual fixture list. It is kept on a single computer which is password protected. We never divulge this information to others.

By providing this information you agree to our contacting you by post, phone & email

I am/was Captain of the.........................................................................Golf Club for the year...........................

Full Name............................................................................................Date of Birth.......................................

Address........................................................................................................................................................

................................................................................. Post Code..................................................................

Telephone Number...................................................... Email Address............................................................
Signed:...................................................................... Handicap ......................................................
The form above should be completed and returned to the Secretary together with a BACS payment or cheque for £20 (made payable to Hampshire Golf Captains)


Please also complete the Standing Order mandate
Either send it to your Bank or use Internet Banking to set up a regular payment
and let the secretary know this has been done
WEBForm01


STANDING ORDER
To the Manager.......................................................................... Bank plc Sort Code...........................

Address ....................................................................................................................................................

................................................................................................................ Post Code................................

Please debit my account number...............................................................................and pay to the credit of

The Hampshire, Isle of Wight & Channel Islands Golf Captains 
Business Account Number 72138295 Sort Code: 09-01-28
Santander, Bridle Road, Bootle. L30 4GB
the sum of Twenty Pounds on 1st February...20...............................and thereafter on 1st February each year
until further notice. Please use my full name as a reference for this transaction.
This supersedes any existing mandate in favour of Hants, IOW & CI Golf Captains
Signed....................................................................... Name in Blocks........................................................
Address.....................................................................................................................................................

............................................................................................. Post Code...................................................