BARTON TENNIS CLUB INC.

APPLICATION FOR MEMBERSHIP 2012/2013

Application for membership may be made on-line through the My Tennis website Alternatively, mail this application form with correct fee to Secretary, Barton Tennis Club Inc., Cnr Wentworth Avenue and TelopeaPark, Barton ACT 2600 OR deposit in the Clubhouse mailbox (located in the clubhouse wall near the main entry gate).

Ensure cheque is marked ‘not negotiable’ and payable to Barton Tennis Club Inc. Payment may also be made by electronic funds transfer. Payment by cash may be made to the Treasurer or Assistant Treasurer in person or deposited in the Clubhouse mailbox (at depositor’s risk of theft). Honorary Life Members are also to complete and submit this form. Membership year is 1 July to 30 June.

MEMBERSHIP FEES WHEN FIRST JOINING OR REJOINING / 1 Jul to 30 Sep / 1 Oct to 31 Dec / 1 Jan to 31 March / 1 Apr to 30 June
Senior Member / $140 / $115 / $90 / $65
Junior member (under 18 years of age at 1 July) / $70 / $57.50 / $45 / $32.50
Family Member (I or 2 adults and their children under 18 years as at 1 July at same address) / $300 / $245 / $190 / $135

These fees include Joining Fee of $40 per Senior member, $20 per Junior Member and $80 per Family which are constant through the year, and a State Registration fee of $15 for each Senior and Junior Member and $45 per Family.

Membership Type / Given names / Surname / Date of Birth
Membership Type is either Senior, Junior, Life or Family / Senior, Life and Junior Memberships will have only one person listed above. For families: List head of family on first line
Parents’ or Guardian’s name of Junior Member:
Contact Details of Applicant:
Address: / Postcode:
Phone / (home) / (Work) / (Mobile)
email

AGREEMENT: By submitting this Application, I (we), the above applicant(s) (and as parent(s) of any above junior applicant(s)) hereby apply for membership of the Barton Tennis Club Inc. and agree that if admitted to membership of the club I (we) will (and guarantee that any above junior applicant(s)) will abide by the memoranda and articles of association, rules and by-laws of the club.

Date / Amount submitted: / Indicate: Cheque/cash/eft

PRIVACY: Barton Tennis Club Inc. requires the information requested on this form to provide you with membership services and related purposes, which can reasonably be expected. Your personal information will only be used in accordance with the purposes of Barton Tennis Club Inc. You can access your personal informationthrough the MyTennis website.