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MEMBERSHIP FORM 1st April 2015 to 31st March 2016
SECTION 1 – MEMBERSHIP CATEGORY
Please indicate which category you are applying for:
Category
Rate
Adult [18 +]
Family [2 adults + up to 3 children under 18 years of age living at
the same address]
1 Parent and 1 child under 18 years of age
Senior Citizen [65 + at 1st April 2015]
Student [18+ in full-time education] 50% discount = £30
Junior [Under 18 years of age]
Mini Tennis [4 – 10 years of age]
Social Membership **
Voluntary Donation
Volunteer [see Section 3]
Total Payment
Please
tick
£120
£180
£120
£100
[£55] £30
£30
No charge
£30
Are you a British Tennis Member? Yes/No - Membership number: …………………….
You can join British Tennis free by going to www.lta.org.uk, selecting British Tennis Membership;
sign up (top right-hand corner), then selecting Club Members and entering Southsea Tennis Club
as your LTA Registered place to play. This entitles you to free entry into the Wimbledon ballot.
SECTION 2 – YOUR DETAILS
PLEASE PRINT CLEARLY
First
Name………………………………………Surname……………………………….....………........
Date of Birth (Student/Senior/Junior/Mini) ………………………………….……………….
Address………………………………………………………………………….....…………….......
…………………………………………………….…………Post Code ……....…………………..
Contact telephone number(s). ……………………………………………………...……………..
E-Mail…………………………………………………………………………………………………
Name(s) of Family Members (Family Membership only):
Second Adult. First Name ………………………… Surname………………………………...
Child Name…………………………………………….Date of birth…………………………….
Child Name…………………………………….…….Date of birth…………………………….
Child Name…………………………..……….…….Date of birth …………………………….
Southsea Tennis Club keeps a secure record of members’ details only for the purposes of
organising the Club and disseminating information about Club activities. Personal information
about members will not be passed on to any person who is not a member of the Club or used for
any reason not connected to the Club’s activities.
Please sign below to indicate that you agree to the above use of personal information for the
duration of your membership and that you agree to abide by the rules of the Club.
Signed. ……………………………………………………………………… Date………………
SECTION 3 - VOLUNTEERS
Southsea Tennis Club is run by volunteers. As a member, any help you can give would be most
welcome. We are looking for help with maintenance, gardening, being a buddy, social media
and helping with tournament organisation. Please indicate whether you would be willing to help
by ticking the box in Section 1. Thank you.
SECTION 4 – PAYMENT
The preferred method of payment is electronic (however see below for alternative methods of
payment). Payment should be made by electronic money transfer directly to Southsea Tennis
Club:
Lloyds TSB
Sort: 30-96-11
Acc. No. 01908633
Please confirm you have paid the sum of ....................... electronically to STC.
Signed…………………………………………………
Date…………………………………….
Your completed membership form should be sent electronically to Annie Meadows at:
anniefmeadows@gmail.com
Alternatively, you may send a cheque made payable to Southsea Tennis Club with your completed
membership form and a stamped addressed envelope to the Membership Secretary at:
Membership Secretary
Southsea Tennis Club
24 Stanley Street
Southsea PO5 2DS
Membership fees may also be paid in cash. Please ask for details at the Pavilion Club House.
You will be sent an acknowledgement and a 2015/16 shoe tag. Please wear your tag whenever
attending Club sessions or using the Courts as an STC member.
** Social Membership is available for previous members of Southsea Tennis Club who no longer
play tennis. It is also open to those wishing to belong as a Social Member only. This type of
membership must be nominated and seconded by current members of STC.
Club rules are on display in the clubhouse at Castle Courts and are accessible via the Club
website: www.southseatennis.com
We very much look forward to welcoming you as a member and to seeing you on court soon.
AM/19/02/2015