Rosanna Tennis Club Inc www.tennis.com.au/rosannatc A120056 ABN: 24843260407 Application for Membership 2013/2014 Forward to: Rosanna Tennis Club rmar2046@bigpond.net.au PO Box 659, Rosanna 3084 Enquiries: 9458 3046 0407 686 903 FULL NAME: ____________________________________________ ADDRESS: ____________________________________________ ____________________________________ Postcode: __________ HOME PHONE: ____________________ MOBILE: _______________________________________ EMAIL: ______________________________________________________________ Previous tennis experience and standard of play: ____________________________________________ Names of clubs you are or were a member of in last 5 years: ___________________________________ Please circle if you require further information about: Junior competition Ladies daytime social play Tues ladies comp Night comp – men or women or mixed Coaching ______________________________________________________________________________________ Membership 1. Senior 2. Junior (U 18) 3. Family 4. Pensioners/Students Fees to 30 June 2014 * $150 pa $80 pa $350 pa $110 pa Deposit for key to the courts is $50, which is optional and will be refunded in full on return of the key. If you are a member of another club which is affiliated to Tennis Victoria, then deduct $30 from this fee I wish to become a member or associate member if under 18 years and promise to support the purposes of RTC and to comply with the rules of RTC: SIGNATURE: ______________________________________________ DATE: ___________________ (Parent, if under 18 years) FAMILY MEMBERSHIP DETAILS: Surname Givenname Sex Date of Birth (U 18) *members joining after 1st Jan 2014 need only pay 6 mths fees * please attach your cheque payable to Rosanna Tennis Club Inc OR Bank Transfer BSB 063233 10034595 Membership Type FEE * Key (optional): ________________ Total: ________________