ASHBY CASTLE
LAWN TENNIS CLUB
SENIOR
Affiliated to The Lawn Tennis Association
Courts and Clubhouse: South Street, Ashby-de-la-Zouch,
Leicestershire.
Tel: 01530 414807
Benefits of Membership include:
Use of the courts and facilities at A.C.L.T.C.
Year round club nights open to all
Enter Club Tournaments and represent Club Teams
Access to coaching and cardio sessions
•Obtain free British Tennis membership - To register,
log on to www.lta.org.uk/membership
Entry into the Wimbledon Ballot
Title
Surname
First Name(s)
Please make cheques payable to:Ashby Castle Lawn Tennis Club
And return with completed form to
Lisa Sayner,
18 Lower Packington Road, Ashby De La Zouch,
Leics, LE65 1GD.
Email: [email protected]
Mobile: 07985 020474
If you wish to pay electronically leave your name as a
reference and return this form to Lisa Sayner.
Account No: 47054778
Sort code:
60- 01- 20
Address
Emergency Contact Details (Please print clearly)
First Name
Surname
Post Code
Telephone
Date of Birth
Mobile
Telephone
Tick here if you wish to receive the club newsletter by
email
Mobile
•Tick here if you do not want your image to be used
for promotional purposes for the club
Email
British Tennis Membership No
Membership runs from 31st March 2015 to 31stMarch
2016. Please tick the appropriate box.
Category
Family New
Family Renewal
Senior New
Member
Senior Renewal
Fee
(To be paid by
31.3.2015)
£360*
£340*
£185
Enter
£165
Student 18-21
£55
Social Member
£10
All renewal forms received after March 31st are
subject to the joining fee of £20.00.
*Please complete a separate form for each person
•I understand that I must inform the club of any
changes to the information provided on this form
•I hereby apply for membership of Ashby Castle Lawn
Tennis Club and agree to abide by the Club
Constitution and Rules. (I understand that my
application may be subject to review and that all fees
will be returned in the event of my application being
rejected).
Sign
Name (please print)
Date
Please tick box below if you would be interested in
representing the club by playing team tennis.
Download

Senior Membership Form Word - Ashby Castle Lawn Tennis Club