OXFORD UNIVERSITY PARKS TENNIS ASSOCIATION
Membership Application Form 2015
Last Name
First Name
Title (if required on membership card)
Department/College
Address
Contact telephone no.
E-mail address
University/College card no.
Membership Type (please tick)
Oxford University Student
£25
Office use:
University/College Staff
£35
Membership No:
External Member
£50
Summer Member
(1st July – 30th September only)
£30
Date card issued: ________
Initials:
________
Life Member - please enquire
Payment may be made in the following ways:
1)
Cheque payable to “Oxford University Sports Department” and sent along with a completed application
form, in the internal or normal post to:
OU Parks Tennis Association, Sports Complex, Iffley Road, Oxford OX4 1EQ
2)
Debit/credit card by submitting a completed application form and subsequently either attending in person at
Oxford University Sports Complex, Iffley Road, Oxford or contacting Reception on 01865 240476.
Please note that Direct Debit facilities are not available.
I have read and agree to abide by the conditions of membership. I authorise Oxford University Sports Department to
process the information I have supplied for administration purposes in line with the provisions for the Data Protection
Act 1998.
Signed: __________________________________
Date: _____/_____/_______
Please indicate your preferred option regarding fee level/ball provision with effect from the 2016 Season:
Tick
Preferred
Option
Retain membership fee level to an annual RPI
inflationary increase but withdraw provision of
balls for members’ use
Increase fees to: Student £40, Staff £55, External
Members £75 with an annual RPI increase to
include provision of balls for members’ use
Comments