Member signup - Futures Geyserland

FUTURES GEYSERLAND MEMBER SIGNUP FORM

We encourage young people to sign up now and enjoy the member benefits!
Please note, this membership is for young people aged 5-18 years old. Please enter their details.

Member details

First name *

Last name *

Email *

Confirm email *

Emails must match and be valid emails. Please double check.

Mobile phone *

Gender *

Male Female

Ethnicity

Address Line 1 *

Address Line 2

region *

Postcode *

Country *

Date of birth *

Emergency contact name

Emergency contact phone number

I give consent to having my/my young person's photograph/recording taken at events and shared to promote young people's participation in golf*

Additional needs (Please describe any assistance you may require (e.g. a support person, adaptive equipment, assisted devices, sighted guide, etc.)

Previous Membership

Have you previously been a member of Flexiclub or an affiliated golf club in New Zealand *

Please enter your previous 7-digit membership number. This may enable us to link your previous scores to your Futures Geyserland subscription.

You are already a member of this club. To pay for your membership, please log in and go to My Account.

We think you might already have a membership number for this club. Contact your club to continue your signup process.

You are an active member of a club.

Thanks for your interest in joining Love Golf Flexiclub. From the date, October 1 2018, we can only accept golfers who have not been a member of a golf club in the previous 12 months. Refer to our Frequently Asked Questions or contact flexiclub@nzgolf.org.nz to check your eligibility and to put your name on the waiting list.

We're sorry, but the first and/or last name you've entered do not correspond with the membership number on record. Please ensure you've entered your details correctly and try again.

Previous membership number is invalid. Please double check.

Please select your main reason for leaving your previous golf club:

Password

Password *

Confirm password *

Passwords must match. Please enter them again.

Password requirements

Must contain at least 8 characters

Must not contain your name or email address

Must contain at least one number or symbol

Must contain at least 1 uppercase letter

Payment Details

Payment can only be made by credit or debit card, or by redeeming any voucher or promo code.

Subscription Fee

Includes a one-off instalment fee of

Transaction Fee

Voucher/Promotional Code

Discount Amount

TOTAL

Terms and conditions

I have read and accept the Terms and Conditions

Please see fields marked red.

Please proceed to enter and validate your billing card. Payment will be automatically taken from the billing card that you use for registration (or any updated card) at the end of your current subscription period.

	MAILING ADDRESS:
	PO Box 842
	Rotorua
	MOBILE:
	0274 599 633
	EMAIL:
	penny.smith@golfnz.org