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.