HANNEY TENNIS CLUB

APPLICATION FOR MEMBERSHIP SEASON 2018-2019

To arrange membership - attend the 'sign-up' morning - 10.00 to 12.30, Sunday 25 March 2018at the courts, or contact Jackie Simpson on 01235 867378.

Please fill in one form for each family, partnership, individual, at one given address.

We encourage all members to join British Tennis on their web site.

NOTE IT IS ESSENTIALThat any member entering the Club Wimbledon Ticket Ballot must have registered by ‘Opting in’ on the BT website before 23February 2018.

Address with Post Code
Surname / First Name / Age (If Junior 16 or Under)
British Tennis Membership No. / Tel. No. / Mobile No. / e-mail Address
Do you wish to enter the Wimbledon Ballot (Age 9 & over)? / Yes / No
Are you willing to play in club league team matches? / Yes / No
Are you willing to play in club friendly matches? / Yes / No
Surname / First Name / Age (If Junior 16 or Under)
British Tennis Membership No. / Tel. No. / Mobile No. / e-mail Address
Do you wish to enter the Wimbledon Ballot (Age 9 & over)? / Yes / No
Are you willing to play in club league team matches? / Yes / No
Are you willing to play in club friendly matches? / Yes / No
Surname / First Name / Age (If Junior 16 or Under)
British Tennis Membership No. / Tel. No. / Mobile No. / e-mail Address
Do you wish to enter the Wimbledon Ballot (Age 9 & over)? / Yes / No
Are you willing to play in club league team matches? / Yes / No
Are you willing to play in club friendly matches? / Yes / No

Continued overleaf

Surname / First Name / Age (If Junior 16 or Under)
British Tennis Membership No. / Tel. No. / Mobile No. / e-mail Address
Do you wish to enter the Wimbledon Ballot (Age 9 & over)? / Yes / No
Are you willing to play in club league team matches? / Yes / No
Are you willing to play in club friendly matches? / Yes / No

PLEASE CHOOSE YOUR ANNUAL MEMBERSHIP FEES:-

Category / Rate / No. / £ Fee
1 / Family(2 Adults & 2 children aged 16 and under) / £140
2 / Single Adult / £65
3 / Students/ Unemployed/Over 70 / £30
4 / Juniors (Age 16 and under) / £22
5 / Mini Juniors (Age 10 and under) / £12
TOTAL MEMBERSHIP FEES:- / £
Old Key Returned / New Entry CodeIssued

ADDITIONAL PAYMENTS:-

TOURNAMENT ENTRY FEE. (Details on separate entry form) / £
CLUB NIGHT TOKENS (See Treasurer’s List) - OUTSTANDINGPAYMENT / £
GUEST FEES - OUTSTANDING PAYMENT / £
PAYMENT BY:- / Cash £ / Cheque £ / Bank Transfer £ / TOTAL PAID:- / £

Bank Transfers must be made before registration. To:Santander Code 09-01-51Account58509307. Give your name as Reference.

I have read and agree to be bound by and subject to the rules of Hanney Tennis Club, and the rules and disciplinary code of the LTA.

Signed / Date

(Adult applicant / Parental signature)

NB This personal data is covered under the Data Protection Act, and will not be disclosed to a third party without explicit permission.