The Hamilton Club

Phone 07-839-0029

MEMBERSHIP APPLICATION

Surname…………………………………………………….

Given Names……………………………………………….

Mailing Address…………………………………………….

………………………………………………………………

Phone (H)…………………………… (B)…………………..

Email………………………………………………………...

Date Of Birth………………………………………………...

 Occupation………………………………………………......

 Signature……………………………………………………...

  Date……………………………………………………………

Nominated By………………………………………………..

Seconded By………………………………………………….

Please complete and send to: The Hamilton Club, Po Box 273, Hamilton, Email thehamiltonclub@xtra.co.nz

If you do not know anyone who can nominate you, send your form in and we will arrange for you to have lunch with our President or Executive Committee member, or arrange for you to meet them some other time.

Hamilton Club Membership Subscriptions Full Town $395 Full Town 65+ $275 30-100km from Club $255
 100kms from Club $180 Corporate Members $790 Corporate Extra Nominees $165
40 Year Members $65 Spouse Members $105

OFFICE USE ONLY Operators Signature……………………………………………...

Member Number…………………………………………………