SOUTH AFRICAN JUNIOR GOLF FOUNDATION Western Province Division The Director of Golf Tel: (021) 686 1668 SAJGF WP Division Fax: (021) 686 1669 PO Box 38003 Cell: 084 656 1102 (Peter Little) Howard Place Email: janine@wpgu.co.za 7450 Website: www.wagnersgolf.com/WPFoundation.html APPLICATION FOR MEMBERSHIP 1 JANUARY to 31 DECEMBER 2008 Surname: Gender: Male / Female First Names: Address: Code: Email: Phone: (H) (Cell) School: Golf Club: Handicap: Date of Birth: Date of Application: PAYMENT DETAILS Full annual membership (up to the age of 18 years)R350 per annum Please deposit into the bank account of: SAJGF WP Division Standard Bank Rondebosch (025009) Cheque a/c 07 141 041 4 Once proof of payment has been received (fax to 021 6861669) the application will be processed. Upon submitting this application, you agree to accept and abide by the rules and bye-laws of the South African Junior Golf Foundation, once accepted as a member.