GXLTC Bull Lane
Gerrards Cross Lawn Tennis Club
Membership Renewal Form 2014 - 2015
To renew your membership of GXLTC, please complete this form and return to GXLTC, Bull
Lane, Gerrards Cross, Bucks, SL9 8RN marking the envelope ‘Membership’, or e-mail to
info@gxltc.co.uk. For methods of payment please see overleaf. Should you have a query
please contact the Administrator on 07875 604872 or e-mail info@gxltc.co.uk.
Membership Category:
Total paid:
Method of payment:
Members Details: (DOB if under 25)
Address:
Surname:
First name:
Date of birth:
First name:
Date of birth:
Postcode:
First name:
Date of birth:
Tel no:
Mobile no(s):
First name:
Date of birth:
First name:
Date of birth:
Occupation(s):
E-mail address:
please insert one character in each box
School (if applicable):
Membership categories:
Full member: £335
Husband & Wife: £540
Family (Couple & children in full time
education): £685
Off Peak (Mon-Fri >5.30pm): £230
Over 65 (Single): £245
Over 65 (Husband & Wife): £365
University: £115
U25 (on 1.1.14): £205
Over 65/Under 65 (Husband & Wife): £445
Non-playing (Social): £35*
Signed ___________________________
U18 (on 1.1.14): £155
U14 (on 1.1.14): £115*
U10 (on 1.1.14): £75*
U8 (on 1.1.14): £45*
U8s & U10s must be supervised
at all times. No play after 5.30pm
except Fridays when extended to
6.30pm.
* Under 8s, 10s and 14s,
must have at least one
parent or guardian as a
playing or social
member.
Date _________________________
Fees received after the last day of the month due will be subject to an additional £20 per adult
membership/£10 junior.