2015 Annual Membership Form
MEMBER DETAILS
Title:
Forename:
Surname:
Address:
County:
Postcode:
Home Phone:
Mobile:
 Please tick box if you are NOT happy for your contact details - telephone and email only - to be circulated to other club members
SUBSCRIPTION RATES FOR 2015 – the discount counts for early payment (before 30th April) – please see the website
for new member rates
Family (2 Adults +
Children)
£260
discounted £240
Family (1 Adults
+ Children)
£190
discounted £175
Concessions
(Over 65) and
UB40
£90
discounted £80
Senior
£130
discounted £120
Junior (U16)
and Student
£60
discounted £55
Mini (U9)
£30
discounted £25
Social
£20
discounted £17
 Please tick box if you require a key for the Tennis Courts and enclose a deposit of
£10. (This deposit will be refunded on return of the key to the Club Treasurer).
Membership Type:
Total amount enclosed: £
For all members please include your contact details and your date of birth:
Name
Date of birth
Email:
CLUB TOURNAMENTS
Do you wish to play in the Annual Tournaments (Singles)?
Yes 
No 
Do you wish to play in the Annual Tournaments (Mixed Doubles)
Yes 
No 
Do you wish to be considered for selection for the Club Teams?
Yes 
No 
SIGNATURE
Signed:
Date:
PAYMENT OPTIONS
 PREFERRED METHOD – Internet banking payment to Musselburgh Tennis Club account number 20052533, sort code
82-70-09. Please use your name as the payment reference
 ALTERNATIVE METHOD – A member can pay in directly at a Bank to the Musselburgh Tennis Club account. The
payment receipt must be sent to the Treasurer to evidence this
THE SMALL PRINT
By filling in this form, you are also being automatically signed up as a British Tennis Member for free. This will enable you to take advantage of the many
benefits offered to British Tennis Members including Wimbledon tickets, exclusive news and discounts and a player rating. For more information visit:
www.LTA.org.uk/membership
 Please indicate if you do not wish to become a British Tennis Member
By giving your consent to you/your child becoming a British Tennis Member, you agree that you/your child will abide by the Terms and Conditions of
British Tennis Membership (at www.LTA.org.uk/BTMTC) and that the LTA and its directly affiliated bodies (see www.LTA.org.uk/affiliatedbodies) can use
the personal data of you/your child, including sensitive personal data that you provide, for the purposes of your involvement in British Tennis, and to send
you/your child by post, e-mail or SMS information related to those purposes (for more information see www.LTA.org.uk/privacy).
Occasionally, the LTA may also use your details to:
 send you information about LTA offers and offers from third
parties that the LTA work with by post, email or SMS. Please tick
this box if you do NOT want to hear about these offers.
 pass your contact details on to carefully selected third parties so that they can
send you, by post, details of their products and services. Please tick this box if
you do NOT want the LTA to pass your details
Please return completed forms to email@musselburghtennisclub.org.uk
or in person to Janey Anderson, Membership Secretary