Application Form

Application Form

Congratulations on your decision to apply for membership to the North Harbour Club.

Please fill in the following questions in the boxes below, name your nominating members, attach your CV/Bio/LinkedIn profile including employment, personal interests and submit your application.

If you have any questions about the application process, please contact Jodie Rawle on


Nominating Members

(Note: if you do not know a current Club Member, you must have the proposer and seconder signed off by a member or General Manager at one of the Club functions)

Name of your First Nominating Member

Name of your Second Nominating Member

Personal Details

Please enter your personal details below:

Business Details

Please enter your business details below:

Street Address

Postal Address


Please answer all questions below:


Please select your membership options below:

$690.00 for each year
$2,875.00 for each year
$345.00 for each year

Conditions of Membership

Please tick that you AGREE to the following: