REGISTRATION FORM FOR 2013 ASSOCIATE MEMBERSHIP OF TCI ALTERNATIVELY YOU CAN REGISTER FOR ASSOCIATE MEMBERSHIP BY USING OUR ELECTRONIC PAYMENT FACILITY – details at www.tenniscoachireland.ie YOUR NAME: TENNIS IRELAND QUALIFICATION: (see note below) ADDRESS: MOBILE NUMBER: EMAIL ADDRESS: Block capitals please Note re Qualification: In order to join TCI as an Associate Member in 2013, you must have a Tennis Ireland qualification at any of the following grades: Play and Stay Assistant, Tennis Assistant 1 or 2, Level 1, Level 2 or Level 3. I ENCLOSE FEES FOR: TCI Associate Membership 2013 EURO €49.00 STERLING £40.00 Please make cheque payable to `Tennis Coach Ireland` Please note all data relating to coaches is kept on file and will be passed on to Tennis Ireland but will not be passed on to any other third party. If you do not wish your details re CPD points to be passed to Tennis Ireland for Licensing purposes, please tick here: ☐ NEW: “Please not that, in joining TCI you agree to be bound by the ITF Code of Ethics for tennis coaches, as adopted by TCI. You can view the Code of Ethics at www.tenniscoachireland.ie” SIGNED..........................................................................................Date........................................ When you have completed the form, please post it, with relevant fees, to: Mr. Paul Murphy, 15 Chestnut Grove, Mullingar, Co. Westmeath. Phone: 086 249 8498. Fax: 044 934 3522. E: paul.murphy@tenniscoachireland.ie