Salterns Road, Parkstone,
Tel: 01202 740219
Application for Membership
1.
Please
complete all sections and obtain signatures of two Club Members as proposer and
seconder. Completion of this Application Form
comprises agreement to be bound by the Club Rules.
2.
Hand
this form, with a cheque made payable to “EDLTCC” for the appropriate amount,
to the proposer who will pass it to the Membership Secretary for
processing.
3.
Please tick
box if you require your details to be confidential and not released to other
members
4.
Title: ………… (Mr, Mrs, Miss, Dr, etc.)
5.
Forename: ……………………………………..
(by which you would like to be known)
6.
Surname: ……………………………………………………………………
7.
Address: ……………………………………………………………………
……………………………………………………………………
……………………………………………………………………
8.
Postcode: ……………………………
9.
Date of
Birth (Juniors/Veterans etc.)
……………………………
10.
Contact
Nos.: (Home / Work /.Mobile) ………………… / ……………….… / ….…….…….…..
11.
E.mail:
……………………………………………………………………………………………….
12. Membership Category you wish to join (circle
the appropriate category):
Full Tennis /
Tennis-Country / Improver / Parent / Tennis-Social
Tennis-Colt /Junior / Junior (under 13) /
Junior (Mini)
Croquet /
Croquet-Country / Croquet-Far-Country / Croquet-Social / Bridge
13.
Potential
voluntary effort for the club: …………………………..…………………………………….
14.
Signature: ………………………………… Date: …………………….
15.
Proposer: …………………………………. Date: …………………….
16.
Seconder: …………………………………. Date: …………………….
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
For
Club Use:
Section
Approval:
……………………………………….… Date: …………………..
Membership
Secretary:
………………………………....… Fee
Paid: £…………..…
Executive Committee: ………………………………….… Date:
…………………..