CLUB MEMBERSHIP APPLICATION FORM Twitter Date of Application Name and Surname Date of Birth ID Number Mobile Number Work Phone Home Phone Email Address Address where Applicant Resides Silver Lakes Resident * YES NO Stand / Erf Number BANKING DETAILS Membership you are Applying for * Please Select an Option GLD01- Family Package Homeowners (2 adults + 2 juniors) - R51 715,00 GLDH01 -Family Package Non - Homeowners (2 adults + 2 juniors) R54 300,0 GLD06 - Combined Homeowners (Married/Living together) R42 410,00 GLDH07 - Combined Non - Homeowners (Married/Living together) R44 530,00 GLD02 - Full gold Homeowner 36-59 R29 800,00 GLDH02 - Full Gold Non - Homeowner 36 - 59 R31 290,00 GLD10 - Under 35 Homeowner (19-35) R21 200,00 GLDH10 - Under 35 Non - Homeowner R22 260,00 GLD11 - Week day Homeowner R18 780,00 GLDH11 - Week Day Non - Homeowner R19 720,00 GLD07 - Senior 60+ Homeowners R20 400,00 GLDH07 - Senior 60 + Non Homeowners R21 420,00 GLD07+10 - Senior Homeowner+ 10 years continuous Membership R10 970,00 GLDH07+10 - Senior Non - Homeownwe + 10 years continuous Membership R11 520,00 GLD08 - Junior U/19 Homeowner R7 925,00 GLDH08 - Junior U/19 Non - Homeowner R8 320,00 GLD05 - Student Homeowner 19-34 R11 280,00 GLDH05 - Student Non - Homeowner 19 - 34 R11 840,00 SIL01 - Full Silver Homeowner R18 780,00 SILH01 - Full Silver Non - Homeowner R19 720,00 SIL04 - Under 35 Homeowner (19-35) R11 400,00 SILH04 - Under 35 Non - Homeowner (19 - 35) R11 970,00 SIL02 - Senior 60+ Homeowner R11 810,00 SILH02 - Senior 60 + Non Homeowners R12 400,00 Golf Carts 2026 - R260 If you are a Student, please submit a copy of your Student Card Will you be paying by Debit Order? * YES NO Copy of Debit Order form handed in? * YES NO Affiliation Paid? * YES NO Joining Fee Paid? * YES NO GOLF CART DETAILS Do you own a Golf Cart? * YES NO If YES, cart registration number Colour of Cart Has annual Cart Registration been Paid? YES NO Registration for carts valid from 1 Jan - 31 Dec SPOUSE / PARTNER INFORMATION IF JOINT MEMBERSHIP, FAMILY Name and Surname Date of Birth ID Number Mobile Number Work Phone Email Address INFORMATION OF PREVIOUS CLUB Name of Previous Club Phone Number Address of Previous Club Have you resigned from Previous Club? YES NO Please Note: Should you wish to terminate your golf membership, a letter of resignation has to be received by the Club, one month before your intention to do so, otherwise you will be liable for payments for the full financial year. POPI Act We are committed to protecting your privacy impact and to ensure that your Personal Information is collected and used properly, lawfully, and openly for the following purpose: Golf Membership. We confirm that your Personal Information collected will be used and disposed of as is required by the Protection of Personal Information Act No. 4 of 2013 (POPI Act).
