Registrieren

NAME

FIRSTNAME

DATE OF BIRTH

Year Month Day

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GENDER

Male

Female

X

STREET

NUMBER

BOX

POSTCODE

TOWN

TELEPHONE NO

MOBILE PHONE NO

E-MAIL ADRESS

GOLF PROFICIENCY CERTIFICATE / HCP?

Yes

No

WHS (HCP)

FEDERATION NUMBER

DO YOU WANT TO RECEIVE AN INVOICE? Invoicing address (only if different to your home address)

Yes

No

COMPANY NAME

STREET

NUMBER

BOX

POSTCODE

TOWN

COMPANY NUMBER

DO YOU WANT TO MAKE KOKSIJDE GOLF TER HILLE YOUR HOME CLUB AS FROM 1 JANUARY 2022?

YES (membership contribution + federation contribution)

NO (only membership contribution)

RATE

Rate 1: not a Koksijde local resident

Rate 2: Koksijde local resident = 15% discount

Rate 3: I have a second home in Koksijde = 15% discount (only applicable when a certificate is submitted)

MEMBERSHIP

Driving range (with unlimited access to the driving range)

9-hole Hazebeek course (with unlimited access to the driving range + 9-hole course)

18-hole Langeleed course (with unlimited access to the driving range + 9-hole course + 18-hole course)

RATE COUPLE?

Yes

No

1 REGISTRATION FORM PER PERSON!

COUPLE WITH (NAME + FIRSTNAME)

PLEASE SPECIFY ANY COMMENTS OR SHARE ADDITIONAL INFORMATION BELOW

Register