Membership Form - Royal Tara Golf Club

Step 1 of 3

Name(Required)

First Last

Date of Birth(Required)

Please add in numbers only. Example: 10111990 for 10/11/1990

Address(Required)

Street Address Address Line 2 City/Town County Postal Code

Telephone (Optional)

Mobile Phone(Required)

Email (Optional)

Occupation (Optional)

Previous Club(s) (Optional)

Handicap (Optional)

Golf Ireland Member Card No. (Optional)

If a transferee - State your Club (Optional)

Existing Category (Optional)

Membership category preiously held (Optional)

Date of Joining (Optional)

Any further relevant information (Optional)

Membership Type (Please tick as appropriate)(Required)

Full

Under 35

Under 30

Student

Data Protection Legislation

It is necessary for Royal Tara Golf Club to collect and record certain personal data relating to each member, including the member’s name, address, date of birth, telephone number and email address. The data provided by each member shall be provided to Golf Ireland and to other third parties to facilitate any services provided relating to Golf Ireland operating and maintaining the details of the handicap of members on the Golf Ireland website and for this purpose allocates each individual member of the Club a unique personal identifier number (WHS Number). It is Royal Tara Golf Club that controls any data provided. The personal data will be used for management and administration purposes only. Any party receiving the information shall not use it for commercial purposes or release it to any party without prior approval.

The Club wishes to ensure that each of its members, for the purposes of applicable data protection legislation, explicitly consents to the processing of personal data by the Club in conjunction with its day-to-day business.

I consent, by ticking the boxes and signing below to the following: (Please tick as appropriate)(Required)

To the Club/Golf Ireland processing of my personal details as set out above and for such purposes as they consider reasonable and appropriate, including those activities detailed above.

To provide me with updates regarding Club activities such as competitions, social events and promotions.

To provide me with details of Club fund raising activities.

I am aware that my photograph or video image may be taken whilst attending or participating in competitions or activities connected with the Club and I consent to them being used by the Club for items like event reports or on the Club website or social media channels.

I understand that I can withdraw my consent at any time by writing to the Honorary Secretary of the Club. I understand my rights under Data Protection legislation as set out in the Royal Tara Golf Club Data Privacy Statement.

I acknowledge my right to request in writing a copy of any personal data about myself which is held and have amended any personal data which are incorrect, incomplete or misleading.

If accepted as a member, I agree to observe all the rules and regulations of the Club for the duration of my membership.

Print Name(Required)

Digital Signature(Required)

Use arrow button above to erase signature

If you know existing members of Royal Tara Golf Club Please complete Proposer and Seconder with their permission below.

Proposed by: Name (Optional)

First

Seconded by: Name (Optional)

First

PAYMENT INSTRUCTIONS

The Royal Tara Golf Club Admin office will contact you to make initial downpayment if required.

If you wish to pay by Direct Debit please complete the Direct Debit Mandate below.

Instruction to your Bank to pay Direct Debits :

Please complete parts 1 to 4 to instruct your bank to make payments directly from your account.

Originator’s Identification Number 301700

MEMBERS NAME(Required)

Address(Required)

Street Address Address Line 2 City/Town County Postal Code Country

Bank(Required)

Branch(Required)

Name of Account Holder(Required)

First Last

IBAN(Required)

BIC(Required)

Your Instructions to the Bank and Signature

I instruct you to pay Direct Debits from my account at the request of Royal Tara Golf Club. The amounts are variable and may be debited on various dates. I understand that Royal Tara Golf Club may change the amounts and dates only after giving me prior notice.

I shall inform the bank in writing if I wish to cancel this Instruction. I understand that if any Direct Debit is paid which breaks the terms of the Instruction, the bank will make a refund.

Digital Signature(Required)

Use arrow button above to erase signature

Date(Required)

Direct Debit Option (Please tick one)(Required)

Annual Direct Debit

Monthly Direct Debit January to December

Membership Application

Data Protection Legislation

PAYMENT INSTRUCTIONS