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 [email protected] For methods of payment please see overleaf. Should you have a query please contact the Administrator on 07875 604872 or e-mail [email protected] 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.