New Application Tuesday, 7 September 2010
Application Form
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Field marked with Asterisk (*) is mandatory

Profile Information

First Name
*
Middle Name
*
Last Name
*
Name To Appear On Card
*
Must not exceed 18 characters. Exceeding characters will be truncated.
Gender
*
Birthdate
*

Day

Month

Year
Civil Status
*
 SINGLE
MARRIED
WIDOWED
SEPARATED
Nationality

Contact Information

Email Address
Mobile No
Home Address
*
Zip Code
*
Home Telephone No.
Company/Business Name
Office Address
Zip Code
Office Telephone No.
Designation/Job Title
Preferred Mailing Address
*
 HOME OFFICE

Other Information

Participating Golf Clubs Where You Play
 CAMP JOHN HAY
CANLUBANG
EASTRIDGE
FOREST HILLS
ORCHARD
PUERTO AZUL
RIVIERA
SHERWOOD
SOUTHWOODS
STA. ELENA
TAGAYTAY HIGHLANDS
WACK WACK

*Annual Membership Fee is PhP 1,100.00

By submitting your registration information, you affirm your agreement to the IPI GOLF CLUB Terms of Service. Your submission of this form will constitute your consent to the collection and use of this information for verification purposes. Furthermore, this application is subject to approval/disapproval of the club's membership commitee.