Name of Club:

Address of Club:

Telephone No:

Fax No:

E-Mail:

Website Address (if any):

Contact Name:

Golf Professional (if any):

Course Facilities:
(Please Tick)

Golf shop: Yes No 

No of Holes: Yes No 

Club Hire: Yes No 

Buggy/Caddy Hire: Yes No 

Putting Green: Yes No 

Practice Area: Yes No 

Driving Range: Yes No 

Chipping Area: Yes No 

Bar Facilities: Yes No 

Catering Facilities: Yes No 

Others:

Green Fees:
Weekdays:
€
Weekends:
€

Course Terms and Conditions: Please Complete

Club profile:
(Where possible, please attach computer printout or club brochure)

Picture(s):

Coloured Pictures are provided in:
Jpeg Format EPS Format Unable to Supply 

Agreement Form

We hereby agree to participate in "Golf Breaks Ireland" golf guide. The information that is declares above is correct at this time and must be included in all editions of the guide. Any relevant changes will be notified in writing to Golf Breaks Ireland. Should our club decide that we no longer wish to remain in this programme, we must inform Golf Breaks Ireland in writing of our intention and Golf Breaks Ireland must remove our club from the next edition of the "Golf Breaks Ireland" golf guide.

Signed on Behalf of the club:

Club Position:

Date: