Payment via Amex for New Application of Golf Allianze Membership and Handicapping Services Type 1

Payment via Amex for New Application of Ordinary Membership - Platinum Card

Age Group/ Category - Junior (Age 6 to 20) - One Year Membership

Age Group/ Category - Adult (Age 21 to 54) - One Year Membership

Age Group/ Category - Adult (Age 21 to 54) - Two Year Membership

Charges Include:    - Annual Membership & USGA Handicap Maintenance Fees.
                                      - One Time Courtesy Round/ Handicap Test Fees. (Based on 9 Holes)
                                                                                                                  - Handicap Test Fees Excludes Green Fees, Buggy or Trolley Fees

Charges Exclude: - Golfers Insurance

Type 1: Applicants with No Record of a Previous USGA Handicap Index

New Application of Ordinary Membership - Platinum Card with Golf Handicap Maintenance

Item 1:

Optional Services

Item 2:

Golfers Insurance (One Year Coverage) Underwritten By: NTUC Income

Golfers Insurance (Two Year Coverage) Underwritten By: NTUC Income

$30.00

$60.00

One Year Membership Term:

Two Year Membership Term:

Please Specify Application Details for Type 1/ Fill in your Amex Card Details Below

Age Group/ Category - Senior (Age 55 onwards) - One Year Membership

Age Group/ Category - Junior (Age 6 to 20) - Two Year Membership

Age Group/Category - Senior (Age 55 onwards) - Two Year Membership

* Please scroll down to select on “Golfer’s Insurance” if you require the Optional Services:

$320.00

$260.00

$270.00

$470.00

$370.00

$390.00

Name on Amex Card

Amex Card Number

Issuing Bank (E.g; DBS/ UOB etc…)

Card Valid Thru (Expiry Date)

4 Digits Security Pin (In front of Card)

Total Amount to be Paid

Acceptance of Terms and Conditions

Additional Comments (Please edit accordingly))

Payment for Golf Allianze Membership & Services

Instructions to Applicants:

1. Choose the appropriate Type
of Membership/ Age Group and click on the Radio Button.

2. Scroll down and fill in the Amex Card details accordingly for all the Items selected for payments.

3. If you are making payments for for a Two Year Membership Term or for more than 1 Applications with different Categories and Age Groups: Please indicate in the
Remarks Column where
applicable….

4. Remember to Add Golfer’s
Insurance if you require the
Services. Please take note that
Golfer’s Insurance runs
concurrently with your
Membership Time Line and would be terminated upon the expiry of the Membership. (Check Details)

5. Upon receipt of your payments, we will proceed to arrange for the printing of your new Membership Card.

6. By making payments through this electronic gateway, you have agreed and consented to the use of personal data for the purpose of making payments for our products and services. All data received shall be treated as restricted information and shall not be stored or reused for any other purposes. The privacy and confidential nature of the data shall be maintained and for Safety and Security reasons, all data shall be destroyed after its intended use.

7. Golf Allianze shall not be
responsible for any delays, loss of data arising from Server
breakdowns, power failures or
from any unforeseen
circumstances. The Onus is on the Buyers to inform Golf Allianze if they do not receive any form of acknowledgements from forms or payments sent electronically.

8. Members/ Subscribers shall
have no recourse against Golf
Allianze Pte Ltd, it’s Staff,
Management, Managing Agents
and or Partners in Alliance.

* Please contact us at our
24 Hrs Help Line +65 6747 4898
should you require any assistance.