Membership Form

SUBSCRIPTION FORM 2012 - ONE PER MEMBER PLEASE

Please fill in and return this form to:
Judith Wilson, 17 The Garth, Ash, Surrey, GU12 6QN or email to ashtennisclub@hotmail.co.uk
(Cheques should be made payable to Ash Tennis Club)
Internet Banking: Sort Code: 30-90-09 A/c Number: 01058452 Name: Ash Tennis Club



1 NAME....................................................................................................................................................

TELEPHONE............................................. MOBILE................................................................

FULL ADDRESS.................................................................................................................................
  .................................................................................................................................
..................................................................................................................................
POSTCODE ...................................................

EMAIL ...........................................................D.O.B. (if 18 years or under)............................

  Preferred method of communication: Email/Post (delete as appropriate)

2 TYPE OF MEMBERSHIP (Ring the appropriate amount)

a) Full Adult £97.00
Family £207.00
Associate £44.00
Full Student £43.00
Away Student £27.00
Junior £15.00
Social £10.00

Away Students are those in full time education who are living away from home for most of the year
e.g. Boarding School or University

NB: Please note that the LTA subscription fee is included in the above membership fees.

3 CLUB HOUSE KEY

To receive a Club House key (refundable) £5.00

4 BREAKDOWN OF AMOUNTS Membership Fee ......................................

  Key Deposit ......................................

  Voluntary Donation ......................................
(For those Members who feel they are unable to give up their time to help run/maintain the Club, but would like to donate in an alternative way)


TOTAL ........................................


5 CLUB CHAMPIONSHIPS (Applies to Full Adult & Full Student Members).

If you wish to play in the Club Championships, please complete as appropriate.

NAME ................................................................................................................................

Singles Yes No (delete as appropriate)

Partner's Name

Mixed Doubles ............................................../Partner Wanted

Men's Doubles ............................................../Partner Wanted

Ladies Doubles ............................................../Partner Wanted

Veterans* Doubles ............................................../Partner Wanted

(* A Veteran is a man or lady over 55)

6 LEAGUE TEAMS If you wish to be considered for a team, please tick below:

  Selections take place March 2011 for Summer Teams

Men's /Reserve Mixed /Reserve Ladies /Reserve