WALTON TENNIS CLUB - SUBSCRIPTION OPTIONS
(please fill in tick box on renewal/application form of payment choice taken, and fill in the amount paid)
1. You can pay by cash or cheque as normal
2. You can also pay the money directly into Walton Tennis Club’s bank account.
Acc no: 31884115
Sort code 40-43-03
Payee reference: Please identify your payment with your Name and Membership Class
3. You can pay by Standing Order, for senior and family membership classes, dividing payment into 4 payments
throughout the year. There is an additional £16 premium per class of membership for taking this option which is
added to the 1st payment.
Please use the table to fill in the form below and
You must SEND the completed standing order form to YOUR BANK
The standing order arrangements MUST be set up in time for the first payment on the 14thJune 2015 so
all 4 payments are made by this method . (new members joining later, adjust the 1st date)
Membership Class
1st payment
Senior(individual)
Senior(2 partners)
Senior (60&over)
Restricted
Full time student/U 21
Family membership
Junior(Under 18)or(U11)
Associate
Country Membership
(residence 25miles+)
£61
£98
£56
£51
Not available
£111
Not available
Not available
Not available
Next 3
payments
£45 x3
£81 x3
£40 x3
£35 x3
Subscription total
£95 x3
£396
Payment dates: 14/6/15 2/9/15, 2/12/15, 2/3/16
£196
£341
£176
£146
by standing order
Standing order can be set up on the agreement that ALL 4 payments are made. ALL 4 by Standing Order.
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STANDING ORDER INSTRUCTION FORM (YOU send to YOUR bank)
Please set up the following standing order payments from my account
My account name…*………………………………………………….
My account number…*………………………………………………
Beneficiary
WALTON TENNIS CLUB
Beneficiary Account Number 31884115
Beneficiary Account Sort code
40-43-03
Amount in numbers 1st payment. Date 14th June 2015 *…………………………………………………
Amount in words 1st payment*…………………………………………………
Amount in numbers* (subsequent 3 payments) dates:
2ndSept 2015 2nd Dec 2015 2nd March 2016
.....................................
Amount in words*(subsequent 3 payments)..................................................................................
4 payments in total
Signed*…………………………………………………..Date*……………. *complete