Application for membership

Applicant/s to complete

Partners details

Only required if double membership is sought

By clicking the submit button, you acknowledge you have read the Privacy Act Statement detailed below


The Cromwell Club is collecting and will hold the information on this form. The information is required so that the club and its members can assess the applicant’s suitability for membership (including transfer of membership) and so it can administer its operation and assist other clubs affiliated to Clubs New Zealand to administer theirs.

The applicant acknowledges that by signing this form he or she has authorized the club to obtain,  check, exchange information with, and supply information to members of the Club, Clubs New Zealand, and clubs that are affiliated to Clubs New Zealand.

The Applicant is entitled, under the Privacy act 1993, to have access to, and request correction of, personal information held by the club about the applicant.

I hereby agree to abide by the rules of the Cromwell Town & Country club and certify that the information provided on this application form is correct. I acknowledge that if I have given any false information, it could result in an automatic cancellation of my application and/or membership of the club.

I accept that my membership application is subject to the registered rules of the Cromwell Town & Country Club and will be accepted or declined by the Executive Committee. If my membership application is declined, then I understand that I will receive a full refund of the amount paid to the Cromwell Town & Country Club.

By signing this application I acknowledge that I have read the Privacy Act statement above, agree to abide by the Cromwell Town & Country Rules and acknowledge that the club will make enquiries into my suitability as a member and should my application for membership be refused, the club is not required to supply a reason for the refusal.

Membership Subscriptions

Joint    $70.00 per couple            Single $50.00 per person            Junior $10.00 Per person           $20.00 per person – Compulsory Building Levy

*Our membership year is November 1st through October 31st

*If applying part way through the year the fee will be worked out on a pro-rata system, Our Manager will inform you of what this is