Tee Off Australia - Membership Sign-up

MEMBERSHIP DETAILS

Membership Type :

Signup Code :

Enter a voucher here if you have one.
Voucher Code will be processed when you proceed and the results will be displayed on the following page.
You may return to this page and update your voucher code at any time.

Email Address :

This will also be your USERNAME

Password :

Confirm Password :

Security Question :

Answer :

PERSONAL DETAILS

First Name :

Last Name :

Date Of Birth :

Photo Identification :

Drivers License 18+ Card Passport

Enter Number :

Only required for Eagle Club Membership
Please select the type of identification you are able to provide that contains a photo of your self for identification purposes and enter the number associated with the type of identification.

Are you a member of an existing golf club? :

yes no

Enter Name Of Club :

This field is only required if you are a member of an existing club and are signing up for Eagle Club Membership

Employment Status :

Employer's Name :
Employer's Phone No :

These fields are only required if you are signing up for Eagle Club Membership

Home/Work Phone :

Mobile Number :

LOCATION ADDRESS

Street Address :

Suburb :

State :

Postcode :

POSTAL ADDRESS - leave blank if same as location

Postal Address :

Postal Suburb :

Postal State :

Postal Postcode :

PAYMENT OPTIONS

Payment Type :

Direct Deposit Credit Card

Please select how you wish to pay for your membership

Where did you hear about us? :

Would you like to subscribe to our mailing list? :

yes no

Clicking the 'Verify Details' button will take you to a verification page to ensure your details and voucher code are correct. You can return to this page at any time to change your details.
No payment will be made until you confirm your details are correct on the following page.