Remittance Advice

Please sign and return this Remittance Advice with payment or, confirm by ticking the box below that a completed standing order form has been sent directly to your bank to


Graham Hughes, Treasurer, 14 Carrick Court, Bay View Road, Port St Mary, IM9 5AL


Member Name
Date of Birth
Phone number
E-mail address
Home Club
Remittance enclosed £


Greenage fees apply to the full year from 1st April 2022 to 31st March 2023.  This charge cannot be cancelled part way through the year even if paying by Standing Order. Annual green fee payments can be made directly into the golf club account or by cheque.

Company Port St. Mary Golf Club Limited
Bank & Branch Name Isle of Man Bank Limited, South Region
Sort Code 55-91-04
Account Number 13098608


I wish to pay by standing order over 10 months and confirm I have sent the completed standing order form to my bank

Declaration:  By completing and returning this form, along with payment of your fees, you confirm that the above information is correct and agree to abide by our Club Rules / Code of Conduct / Equality Policies.  Please ensure you read and understand the Club Rules and Policies.  These can be found on the Club website located at

Personal Information: The Club is committed to protecting and respecting your privacy and we will only use your personal information to administer your membership and WHS handicap as well as to provide any information you have agreed that we may provide to you.  From time to time we may also contact you about content that we think may be of interest to you, such as competitions and other events.  If you consent to us contacting you please tick below indicating the information you’d like to receive:

Receive emails of competition results, tee times and other club information
Receive emails only related to membership renewals, course closures, AGM’s etc

You may unsubscribe from email communications at any time.  For information on how to unsubscribe and about how we will use your information, you should refer to our Privacy Policy at



Member Signature ____________________________________ PSM GC Remittance Advice 2021 (1)

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