Tee Off Australia

If you wish to sign up for Membership and be part of the golfing revolution please fill out the form below

Indicates a required field

Email Address :	This will also be your USERNAME

Password :

Confirm Password :	Please enter your password again to verify it is correct

Security Question :

Security Answer :	This is the answer to the Security Question you entered above. Please use one word answers with no spaces.

PERSONAL DETAILS

First Name :

Last Name :

Date Of Birth :

/ /

Photo Identification :

Drivers License 18 Plus Card Passport

Enter Number :

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

Employment Status :

Phone Number :

( HOME ) ( WORK )

Mobile Number :

LOCATION ADDRESS

Street Address :

Suburb :

State / Postcode :	Postcode:

POSTAL ADDRESS ( Tick if same as Location Address )

Postal Address :

Postal Suburb :

State / Postcode :	Postcode:

PAYMENT OPTIONS

Payment Options :

By Credit Card Direct Deposit

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