Salisbury Tennis Club

Membership Form to 31/03/09

Please complete and forward this form to the Secretary at the address below, along with your cheque made payable to "Salisbury LTC". This form can either be printed off (A4 format) and completed by hand, completed on screen or saved to your computer (use the "Save As" command in the "File" menu) and completed at a later date.

Full Name:

Year joined Club:

Address Line 1:

Survey: Which age group are you?

Address Line 2:

Over 20

Town/City:

Postcode

Over 25

Phone number

Email address

Over 30

Date of Birth
(if under 18):

British Tennis No:

Over 35

Partners Name:

British Tennis No:

Over 40

Children's Names:

Date of Birth

British Tennis Number

Over 45

Over 50

Over 55

Over 60

Over 65

Category	Description	Cost	Tick
Full		£125
Husband and wife	Married / Living Together	£215
Family	3 or more of same family living at address	£250
Country 20	Living over 20 miles from Club	£75
Country 30	Living over 30 miles from Club	£55
U - 21	Born 1987 or later	£50
U - 16	Born 1992 or later	£35
U - 10	Born 1998 or later	£10
Social Only	To use off court facilities only	£20
Winter Adult	01/10/08 to 31/03/09	£59
Winter Junior	01/10/08 to 31/03/09	£29
Visitor - Adult	With member	£4
Visitor - U 18	With member	£2

The information you supply here will be held on computer. It will not be passed to any third parties.

Please send this form to Roger Witt, 6 Milton Road, Salisbury, Wiltshire SP2 8AX along with your Cheque made payable to"Salisbury LTC".

Signed:

Dated: