Online Membership Application Step 1 of 4 - Personal Details 25% Member DetailsName(Required) First Last SA ID Number(Required) eg 750904 5031 082Date of Birth(Required)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Occupation(Required) Cell(Required)Home TelOffice TelFaxEmail(Required) Enter Email Confirm Email Partner DetailsName First Last Date of Birth(Required)Day12345678910111213141516171819202122232425262728293031Month123456789101112Year20262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Occupation(Required) Cell(Required)Home TelOffice TelFax You must be a full member if you reside within a 25 km radius of Eston and can only be considered for Country Membership outside this radius. A Student member is one who is studying full time at College or University and proof to this effect must be available. It is the obligation of the Applicant to ensure that the signature of the FIVE members in good standing be obtained in the month that the membership application remains posted on the notice board at the Club. Signatories must sign the application form in the space provided. Thereafter the application will be submitted to the Club Executive for their decision.Postal Address Street Address Address Line 2 City/Town Province Postal Code Business Address Street Address Address Line 2 City/Town Province Postal Code Club Membership Options(Required) Couple Membership Corporate Single Member Student Country Member Associate Member Entrance Fee Squash Quantity Price: R530.00 Quantity Cricket Quantity Price: R405.00 Quantity Hockey Quantity Price: R390.00 Quantity Tennis Quantity Price: R290.00 Quantity Gun Club (Including CTSA & insurance) Quantity Price: R1,950.00 Quantity Gun Club Junior (Including CTSA & insurance) Quantity Price: R1,112.00 Quantity Total Membership Fee Proposer Name First Last Seconder Name First Last Accept Rules(Required) I agree to abide by the Rules and Regulations of the Beaumont Eston Farmers’ Club which have been made known to me.