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
Gender
Telephone: H
D.O.B.
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 –
Conc
Saturday Pennant Ball &
Playing Fee – ONLY FOR
PLAYERS PLAYING
SATURDAY AFTERNOON
COMP
Senior Players
Junior Players
Early Bird –
Payments before

17 November
2014

Payments made after
the 17th November
2014
$325.00
$140.00
$100.00
$100.00
$350.00
$165.00
$125.00
$125.00
$70.00
$95.00
$50.00
$75.00
Per Person
Per Team-Divide by
number of players in
team
$ 55.00
$ 27.50
$330.00
Early Bird
Payments
before
17 November
2014
Payments made
after
17th November 2014
Junior Membership (17 &
under as at 1st October 2014)
$90.00
$115.00
Ball & Playing Fee
$45.00
$45.00
Total Fees
$135.00
$160.00
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 new Membership that has been introduced this season. It only gives
the player Membership of the Traralgon Tennis Association for the duration of the Night Tennis Season only. 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

Direct Credit
BSB
193-879
Account No. 431690293
Cardholder Name _______________
Card Number _________________
Signature
Expiry Date
_______________
_________________
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 ____________________