Beaumont Tennis Club Senior
Membership Form: Summer 2015/16
Member Details – Please note details below are required
Title:
First Name:
Gender (Please circle or delete): Male
Last Name:
Female
My Tennis ID (If known):
Mailing Address:
Phone No. (Home):
Phone No. (Mobile):
Date of Birth:
Email:
Membership Details
Please select which Membership you would like to purchase
Senior competition (Saturday Afternoon $250)
(If paid by 31st of October - $230)
Senior full-time student ($220)
(If paid by 31st of October - $200)
Senior and Junior competition ($320)
(If paid by 31st of October - $300)
Social (annual Oct – Sep $100)
(If paid by 31st of October - $100)
Note: $20 Discount on Senior Competition Memberships paid by 31st October
Pay by Electronic Funds Transfer
Make direct transfer to the Beaumont Tennis Club’s bank account:
BSB: 105-027 Account number: 129704240
please include your name in the message field AND send an email to cjbagley@tpg.com.au indicating the payment you have
made AND including a filled-in copy of this form as an attachment (or send hard copy to Chris Bagley).
Pay by cash
Please give this completed nomination form and your payment to the Treasurer, Chris Bagley.
Pay by cheque or Money Order
Please return this completed nomination form and your CHEQUE or MONEY ORDER (payable to “Beaumont Tennis Club
Inc”) to the address below.
Terms and Conditions and Privacy
I hereby apply to be a member of Beaumont Tennis Club and agree to be bound by the Beaumont Tennis Club’s Constitution, By-Laws
and Policies, as well as the By-Laws and Policies of Eastern Districts Tennis Association and Tennis Australia.
For information on the Club’s privacy policy see www.beaumont.org.au/Docs/privacy.html. Tennis Australia’s policy may be read at
www.tennis.com.au/privacy.
You may check your privacy settings and choose options by logging on to Tennis Australia's "My Tennis" WWW site. Go to
www.tennis.com.au/clubs/my-tennis and select Player Login.
Optional: Donation to Beaumont Tennis Club Court Lights project
The Club has still to complete paying off the cost of installing the lights on courts 2, 3, 5 & 6. If you wish to make a tax-deductible donation
to assist the Club, please go to the Australian Sports Foundation’s WWW site at https://asf.org.au/make-donation/?pid=1815.
A suggested donation amount is $50. The Club would then be able to receive funds in the form of a grant from the ASF.
Beaumont Tennis Club
Cnr Sturdee St and Devereux Rd, Linden Park
Po Box 385
Glenside SA 5065
ABN: 21 296 818 690
Dr Chris Bagley, Treasurer
Phone (H): 8357 7064 (Mob):0434 865 115
Email: cjbagley@tpg.com.au