< Membership Application Form

CHIPSTEAD PLACE LAWN TENNIS CLUB

Application for Membership

Name:
Tel Number (Home and Mobile):
Email Address:
Address:
Date of birth (if under 21):
Previous Experience:
Membership Type*: Senior/Intermediate/Junior/Infant/Country/Non-Playing
Applicant's Signature:
Date:..../..../....

*Please circle as appropriate
If you were introduced to the club by the Club coach please tick here « »

Subscriptions
 Fee inc Joining (discount**)
 Senior (over 21) £155.00 - includes £35 Joining Fee (£150)
 Intermediate (16-20)  £80.00 - includes £20 Joining Fee (£78)
 Junior (7-15) £45.00
 Infant (4-6) £10.00
 Country £55.00 - includes £20 Joining Fee
 Non-Playing £5.00

Ages as at 1st January 2010 **Discount applies to subscriptions received by the Treasurer by 26th April 2010
Subscriptions must be paid by 31stMay 2010

Notes:
1. Ages are as at 1stJanuary 2010
2. Subscription rates (but not Joining Fees) are reduced by 50% for new members joining after 1st September 2010
3. Please make cheque playable to CPLTC. Thank you.

Applications should be sent to the Membership Secretary:

Nick Christian, 5 Chesterfield Drive, Sevenoaks, TN13 2EG
Telephone. 01732-463822