FELIXSTOWE LAWN TENNIS CLUB
www.felixstowetennis.co.uk
NEW MEMBERSHIP APPLICATION FOR 2015/2016
(Commencing 1 March 2015)
I wish to become a member of FELIXSTOWE Lawn Tennis Club for the year 2015/2016.
I agree to abide by the Clubs Rules and Regulations
Signed ..................................……......Date……………………..........
Title ………....... First name…................................................... Surname .....................................................................……
Address .................................................…......................................................................................................................…….
Post Code ..........................…… Telephone .................……................……………. Mob………………………………………..
E Mail Address please print clearly……………………………………….........………………………………………………………
Date of Birth……......................if under 18.
Parent /Guardian signature............…………………………….
It is recommended that members who are under 18 should be accompanied by a responsible adult whilst on the club’s site. FLTC only
accepts responsibility for junior members during supervised coaching sessions.
I give consent for any photos taken to be used for publicity purposes by FLTC
Yes/No
TYPE OF MEMBERSHIP
Please Circle
Senior
..................
Student
..................
Junior
..................
Country Snr.................
Country Jnr..................
Social Members ..........
Family
..................
Full Price
£240
£ 65
£ 65
£165
£ 65
£ 40
£510
1st Timer Rates - (For anyone who has never joined the club before)
£120
£65
£65
£80
£65
Applies to seniors under 25 years of age and in full time education.
Applies to persons under the age of 18 on or after 1 January 2016
Applies where permanent address is more than 10 miles from the Club.
Applies where permanent address is more than 10 miles from the Club.
£255
Applies to a family living at the same address with a maximum of 2 senior
Members and as many juniors / students as is in the family.
Country Family ...........
£380
£190
Applies where permanent address is more than 10 miles from the Club
(Please give details of additional family members including Name and D.O.B if under 18)
…………………………………………………….…… ……………………………….........................................................
……………………………………………………..………………………………………......................................................
Adult and Family members can now pay by Direct Debit in 10 equal amounts with a first payment on or about 5 th May 2015. For DD
Forms go to www.felixstowetennis.co.uk under Membership.
Matches – Are you interested in playing matches for any of the Club Teams -
Mens

Ladies

Mixed

Optional Donation Appeal - In the last few years, membership numbers have dropped and the club is struggling to cover all of its
overheads. If therefore you would like to make a donation in addition to your membership fee, please fill in the following gift aid statement,
making cheques payable to FLTC. This will be greatly appreciated and treated in a strictly confidential manner.
I would like to donate £……………..… under Gift Aid and would like FLTC to reclaim tax on my donation.
I can confirm that I have paid at least as much income tax or capital gains tax to the tax FLTC are claiming on my donation.
Signature: ................................................................................
I would like a key fob for entry to the clubhouse and confirm I have read and agree to the terms and conditions
Yes / No
(please circle)
Do you wish your email address to be distributed to other FLTC members to organise your own matches/4’s ?
Yes/ No
PLEASE return this form with your cheque(s) made payable to FLTC or DD request to the Membership Secretary
Digby Smith 102 Faulkners Way, Trimley St. Mary, Felixstowe IP11 0FA
e-mail : digby111@btopenworld.com
--------------------------------------------------------------------------------------------------------------------------------------WIMBLEDON TICKET BALLOT - OPEN TO MEMBERS WHO HAVE JOINED BY 12 APRIL
ONLY AVAILABLE TO BRITISH TENNIS MEMBERS – you can join for free at ww.lta.org.uk or from the form in the clubhouse.
I wish to enter the following FLTC members living at the above address in the Wimbledon ballot and agree that 1) any tickets allocated are
for their use and their guests personal use, and will not be re-sold and 2) all listed members are over the age of 8 with a British Tennis
membership No.
The cost of all available tickets and a full set of ballot rules can be found on the Wimbledon tab at www.FelixstoweTennis.co.uk
Please remember, all tickets will need to be paid for on the day of the ballot (TBA).
Name and /BTM Nos >> ………...……………………………………………………………………….………….………………………………