GLEBELANDS SPORTS ASSOCIATION
2011 Membership Application Form
I wish to become a member of Church Eaton Tennis Club:
Name(Applicant)________________________ (**Age ____ Date of birth ___/___/___)
Name(Spouse)__________________________(**Age ____ Date of birth ___/___/___)
Children
Name_________________________________ Age ____ Date of birth ___/___/___
Name_________________________________ Age ____ Date of birth ___/___/___
Name_________________________________ Age ____ Date of birth ___/___/___
**If under 18
Address
_____________________________________________________________
_____________________________________________________________
______________________________________ Telephone____________
Email address____________________________________________
| Membership Required | Number | Cost |
Total |
Couple |
______ | £99 |
£_____ |
| Adult (19+) |
______ | £56 |
£_____ |
Youth (16-18) |
______ | £38 |
£_____ |
Junior (12-15) |
______ | £22 |
£_____ |
Child (Under 12) |
______ | £16 |
£_____ |
UB40/Student |
______ | £38 |
£_____ |
State Pensioner |
______ | £38 |
£_____ |
State Pensioner Couple |
______ | £70 |
£_____ |
†Family Membership |
______ | £125 |
£_____ |
††Country Membership (Single) |
______ | £38 |
£_____ |
††Country Membership (Couple) |
______ | £70 |
£_____ |
Shoe Tag (Compulsory for all) |
______ | Free |
£_____ |
*I require a key for the courts. £5 (returnable) |
£_____ |
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Total fees enclosed: |
£_____ |
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† Family Membership consists of a Married Couple plus children under 16 years old ††To qualify you must reside outside an 8 mile radius of Church Eaton and proof of your address may be requested Note that keys for this session are to be changed from 1st May. Existing key must be returned. Free key exchange available (see Nick Ashby) *Cheque/Cash Cheques payable to "Church Eaton Tennis Club" If accepted for membership I will abide by the rules of the club. Signed_____________________________ Date____________ *Please enter or delete as appropriate Return form to:- Nick Ashby, Moorland Bungalow, 4 High Street, Church Eaton, ST20 0AG. Tel. 01785 823727 Mob : 07973 909015 If you are interested in participating in league matches, please contact: Men's A: Jon Ashby (01785 823727) |
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