Les Mielles - Web Updater

Membership Application

Les Mielles Golf & Country Club

Application for Membership

Please note that on confirmation of your membership a member of our Administration Team will contact you concerning payment.

Salutation *

Full Name *

Address 1 *

Address 2

Address 3

Postcode *

Email Address *

Home Phone *

Work Phone *

Mobile Phone

Membership Type *	Premier Member Full Member i-Book Recreational Memb Social/Overseas/Associate Beginners Club Member Junior Member	Please select the membership you require, please bear in mind that membership costs vary

Date of Birth *		Please enter your Date of Birth.

Payment Confirmation Tel: No *		Please state the telophone number that you wish to be contacted on with regards to payment.

Passport Picture upload *		Please use this link upload to upload your passport picture