The Hill and Valley Lawn Tennis
Club -
Chedworth
2011 MEMBERSHIP APPLICATION FORM
If you are renewing your membership and there is no change to last year please tick here ...........
and just enter your name, any unpaid 2010 visitors fees and the total subs box.
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DATE OF BIRTH
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TYPE OF
MEMBERSHIP |
SUBS |
SIGNATURE
(required for all adults)
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| Deposit for keys (New Members Only) £5 each |
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| Visitors fees from 2010 |
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| TOTAL |
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Contact address ....................................................................................................................
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Contact phone no .................................................... Contact time .........................................
Contact e-mail address.............................................(Important please complete if possible)
Please return with payment (cheques payable to Hill & Valley LTC) to: Fred Shaftoe, Camellia House, Fields Rd, Chedworth, CHELTENHAM, Gloucestershire GL54 4NQ. For prompt payment, a discount is available for any payments received by Fred Shaftoe by 31st March 2011.
2011 SUBSCRIPTIONS
The discounted fee applies to any remittances received by Fred Shaftoe by March 31st.
| Life |
£575 plus LTA annual sub -
£9.00 |
| PROPOSED SUBSCRIPTIONS |
£ |
£ (with
discount) |
| Family (including children in full-time education
up to 23) |
£112.00 |
£105.00 |
| Individual |
£46.00 |
£44.00 |
| Student(in full-time education up to age of
23 not included in family) |
£30.00 |
£28.00 |
| Youth (10-17 before 1.1.10) |
£22.00 |
£17.00 |
| Junior (under 10 before 1.1.10) |
£14.00 |
£13.00 |
DATA PROTECTION
Hill & Valley LTC will use your personal data for membership purposes only and to send you information related only to the club. It will not pass on any personal information to any other organisation or body.
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