Application Form

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APPLICATION FORM

Print or download application form and mail / fax to RGT Sports Sdn Bhd address below. Please read our terms & conditions before signing up.

Single Applicant	(please write in block letters)
Mr /Mrs / Ms
Name to appear on card
Home Address (line 1)
Home Address (line 2)
Company
Designation
Office Address (line 1)
Office Address (line 2)
Home	Area code: Tel No:
Office	Area code: Tel No:
Fax No	Email Add
Handphone No	Nationality:
Birth Date	I/C or PP No:
Your preferred mailing address	Home Office

Joint Applicant	(please write in block letters)
Mr /Mrs / Ms
Name to appear on card
Home Address (line 1)
Home Address (line 2)
Company
Designation
Office Address (line 1)
Office Address (line 2)
Home	Area code: Tel No:
Office	Area code: Tel No:
Fax No	Email Add
Email Address
Handphone No	Nationality:
Birth Date	I/C or PP No:
Your preferred mailing address	Home Office
	MEMBERSHIP CATEGORIES
	1st year single - RM 788 1st year joint - RM 588 (per person)
	Help us to get to know you better
How long have you been golfing
How often do you golf?
When do you usually play?	weekdays weekends anytime
Your home club (if any) ?
Do you currently have a golfer's insurance?	Yes No
Are you a member of other golf clubs?	Yes No
Do you have a current handicap?	Yes No
	Handicap ________ __________ Issuing Body _________________

	Payment Details
	Please make payment in favour of RGT Sports Sdn Bhd
	Amount : ___________________________________
	Cheque/Bank Draft No: ________________________

	Amex VISA MasterCard Diners Others
	Card Account No: _________________________________
	Expiry Date: ____________________
	Cash (payment to be made before delivery of membership card)


	________________________________________
	Signature
	Date: __________________

	For payment by credit/charge card, please fax your application to 603-7875 2373 or Mail your application, together with your cheque/bank draft, to address below: RGT SPORTS SDN BHD No.10-2, 1st Floor, Jalan SS7/16, Kelana Jaya 47301 Petaling Jaya, Selangor Darul Ehsan,Malaysia Tel No: 603-7876 0784 Fax No: 603-7875 2373

         
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