TRARALGON TENNIS ASSOCIATION INC MEMBERSHIP FORM I/We do hereby make an application to be a Member of the Traralgon Tennis Association Inc First Name Surname Address Town Post Code G D.O.B. Gender Telephone: H DOB M Email Tennis Vic Reg Number MEMBERSHIP FEES Family - 2 Adults & 2 children Adult Student Concession Night Tennis Season only – Adult Night Tennis Season only – Concession / Student Saturday Pennant Ball & Playing Fee – ONLY FOR PLAYERS PLAYING SATURDAY AFTERNOON COMP Senior Players Junior Players Fees Due by 07 November 2015 Payments made after the 07 November 2015 $30 late fee extra $340.00 $150.00 $110.00 $110.00 $370.00 $180.00 $140.00 $140.00 $80.00 $110.00 $60.00 $90.00 Per Person Per Team-Divide by number of players in team $ 55.00 $ 27.50 $330.00 Fees Due by 07 November 2015 Payments made after the 07 November 2015 $30 late fee extra Junior Membership (17 & under as at 1st October 2014) $95.00 $125.00 Ball & Playing Fee $45.00 $45.00 Total Fees $140.00 $170.00 JUNIOR FEES For all Juniors playing Saturday Morning Tennis If paying for a family membership please list names and D.O.B for all family members. 1. Name _________________ D.O.B. _______________ 2. Name _________________ D.O.B. ______________ 3. Name ________________ D.O.B. ______________ 4. Name _________________ D.O.B. ______________ **NIGHT TENNIS SEASON MEMBERSHIP ONLY is a Membership that only gives the player Membership of the Traralgon Tennis Association for the duration of the Night Tennis Season that they are currently playing in. If you want to play night tennis again the next season or the Men’s Comp next year, you will need to pay another Night Tennis Season Membership. It would be appreciated if Saturday Afternoon players could pay their ball and playing fees with their Membership. Please see over for payment details Method of Payment Cash Cheque Credit Card Cardholder Name _______________ Card Number _________________ Signature Expiry Date BSB Account No. _______________ _________________ Direct Credit 193-879 431690293 If paying by direct credit please put a note with your payment or email Susie so that we know you have paid. I/We agree to abide by the rules, by-laws and the constitution of the Traralgon Tennis Association Inc. Membership becomes effective on receipt of this application form and payment of membership fees. Please sign Signed __________________________ Date ____________________