TRARALGON TENNIS ASSOCIATION INC MEMBERSHIP FORM
I/We do hereby make an application to be a Member of the Traralgon Tennis Association Inc
First Name
Surname
Address
Town
Post Code
G
D.O.B.
Gender
Telephone: H
DOB
M
Email
Tennis Vic
Reg Number

MEMBERSHIP FEES
Family - 2 Adults & 2 children
Adult
Student
Concession
Night Tennis Season only –
Adult
Night Tennis Season only –
Concession / Student
Saturday Pennant Ball &
Playing Fee – ONLY FOR
PLAYERS PLAYING
SATURDAY AFTERNOON
COMP
Senior Players
Junior Players

Fees Due by
07 November
2015
Payments made after
the 07 November 2015
$30 late fee extra
$340.00
$150.00
$110.00
$110.00
$370.00
$180.00
$140.00
$140.00
$80.00
$110.00
$60.00
$90.00
Per Person
Per Team-Divide by
number of players in
team
$ 55.00
$ 27.50
$330.00
Fees Due by
07 November
2015
Payments made after
the 07 November 2015
$30 late fee extra
Junior Membership (17 &
under as at 1st October 2014)
$95.00
$125.00
Ball & Playing Fee
$45.00
$45.00
Total Fees
$140.00
$170.00
JUNIOR FEES
For all Juniors playing
Saturday Morning Tennis

If paying for a family membership please list names and D.O.B for all family members.
1. Name _________________ D.O.B. _______________ 2. Name _________________ D.O.B. ______________
3. Name ________________
D.O.B. ______________ 4. Name _________________ D.O.B. ______________
**NIGHT TENNIS SEASON MEMBERSHIP ONLY is a Membership that only gives the player Membership of the
Traralgon Tennis Association for the duration of the Night Tennis Season that they are currently playing in. If
you want to play night tennis again the next season or the Men’s Comp next year, you will need to pay another
Night Tennis Season Membership.
It would be appreciated if Saturday Afternoon players could pay their ball and playing fees with their
Membership.
Please see over for payment details
Method of Payment



Cash
Cheque
Credit Card
Cardholder Name _______________
Card Number _________________
Signature
Expiry Date

BSB
Account No.
_______________
_________________
Direct Credit
193-879
431690293
If paying by direct credit please put a note with your payment or email Susie so that we
know you have paid.
I/We agree to abide by the rules, by-laws and the constitution of the Traralgon Tennis
Association Inc. Membership becomes effective on receipt of this application form and
payment of membership fees. Please sign
Signed __________________________
Date ____________________