RANDPARK APPLICATION FORM Membership Type / Tipe Lidmaatskap If Junior - name of school: Grade: Name / Naam (first name) * Title * Surname / Van * Names of Family who are members of this club / Name van Familie wat lede is van die klub Their Ref. No's / Hulle verw. nrs Home address / Huis adres * Postal Addres / Posadres * Code/Kode * Company Address / Werkadres Occupation / Beroep Home / Huis Tel. Cell Business / Besigheid Tel. Fax / Faks E-mail / E-Pos * Date of Birth / Geboortedatum Language English Afrikaans ID Number / Nommer * Other clubs applicant is a member of / Ander Klubs waar aansoeker lid is Present Handicap / Huidige Voorgee * Pin No for Smart card / Pin Nr vir Smaartkaart * Name - Proposer Name - Seconder     Agreement: If elected to membership, I hereby subscribe to and agree fully to abide by the rules and regulations in terms of the Randpark Club. Should I resign my membership of the Club, I accept that membership fees paid to the end of the year are not refundable. In addition, I undertake to advise management IN WRITING of such resignation.     Terms and Conditions - Click Here to Read I have read and agreed to the Terms and Conditions