TLPGA TOUR
LADIES PROFESSIONAL GOLF ASSOCIATION OF TAIWAN
2017
TLPGATOUR MEMBERSHIP APPLICATION
INTERNATIONAL MEMBER
I ……….………………………………………………………………………………………..
(Full name of Applicant)
Of ……………………………………………………..………………………………………..
…………………………………………………………………………………………………
(Home Address)
hereby apply to become an International Member of TLPGA TOUR. I haveread the terms and conditions document and in the event of my admission as an International Member, Iagree to be bound by and respect the Rules and By-Laws of the Incorporated Association.
Note: (International members are not eligible to stand for election to the Board or vote on any Association matters.)
Signature of Applicant……………………………..………….………………Date .……………….…..
PLAYER PROFILE FORM
Please complete the following details in full. This information is used for website player profile and media purposes andMUST be completed as a condition of application for membership.
PERSONAL DETAILS
Surname:…………………………… Christian Names:…………..………….……………
Name as you wish it to appear on tournament draw sheet (if different toabove):
…………………………………………………………………………………………………
Telephone: …………….……………………Mobile / Cell:……………….……..….……
E-Mail: …………….………………………….….(only one personal email address accepted)
Date of Birth: …DD…../…MM……/…YY….. Birthplace:……………………...………
Nationality: …………….……………………… Website:………..……….……...………
Secondary contact details (family member, spouse etc.).
Name:……………………………………….. Relationship:………….….……………….
Telephone: …………….…………………… Mobile / Cell:….……….…….……………
Management Company/Name: ………….………………………………………………….
Telephone:…………….…………….………Mobile / Cell:….…..………….……………
I am currently a member of the ………………………………………………….... Tour(s)
(recognized Ladies Professional Golf Tour)
Date joined above Tour(s):………………………………………………………………….
Height: ...... cms..Weight: ...... kgs..Hair Color: ……...... Eye Color: ......
Age/Date Started to Play Golf: ……………………………
Hobbies/Interests: ......
Famous Relatives: ...... ……….
People who have influenced you: ……………………………………………………….…..
Education/Personal Achievements: ……...... ………………….…
Employment/Other Career: ...... ………….
TOURNAMENT INFORMATION
Sponsor: ...... ……………………
Club Attachment: ......
Date Turned Professional:………………………………..
Career Highlights (on other professional tours):
………………………………………………………………………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
Amateur Record:
………………………………………………………………………………………………………
………………………………………………………………………………………………………
MEMBERSHIP FEE (non-refundable)
2017Annual Fee:USD 400 ( or NT12,000)
The international remittance handling charge, please voluntarily bears,
actual receipt total amount USD400 or NTD12,000.
If you want to pay direct in Taiwan ,you need to pay NTD by cash only.
Payment may be in USDor NTD and can be accepted by cash or remittance to:
Payment in USDAccount Name / Ladies Professional Golf Association of Taiwan
Bank Name / Hua Nan Commercial Bank Ltd
Branch – BSB / Nanking East Road Branch
Branch Address / No. 217, Sec. 3, Nanking East Road Taipei Taiwan
Account Number / 112-97-004008-8
SWIFT Code / HNBKTWTP 112
or
Payment in NTD帳戶名稱 / 社團法人台灣女子職業高爾夫協會
銀行名稱 / 華南銀行-南京東路分行
銀行帳號 / 112-10-111163-1
BANK DETAILS FOR PAYMENTOF PRIZE MONEY
Account Name: …………………………………..……….………….
Bank Name: …………………………………………….…………….
Branch – BSB: ……………………………….……………………….
Branch Address: ………………………….………………………….
Account Number: …………………………………………………….
SWIFT Code: ……………..………………………………………….
IBAN: ………………………………………………………………….
APPLICATION PROCEDURE
Step 1– Post completed Membership Application form to:
TLPGA TOUR office,
12F.-2,No.169,Sec.2, ChangAn E. Rd.,Taipei 10490,Taiwan
Or scan application and email it to:
Step 2– TLPGA TOUR office will contact you regard your application and advise payment procedures if application is successful.
Please send via email or disc 2 photos in high resolution jpeg format
as follows:(1) head/shoulders (2) action shot
Please advise the TLPGATOUR Office if any of the above details change.
Offical Website:
Tel: 886-2-8771-1011
Fax: 886-02-8771-1014
1
Office Use Only
Received Appl. Email? Board Approval? Photos ☐Profile☐Payment received ☐Member Set Up ☐