Membership-renewal form 2015

Boughey Gardens Tennis Club
Membership application/renewal form 2015
2015 Season 1st April 2015 to 31st March 2016
Rates for full year: Adult £115.00, Couples living at same address £190.00,
University Student £50.00, Junior (12-18) £30.00, Under 12 £15.00
Family £240.00 (2 Adults and up to 3 Children under 18) Early Payment discount of £10.00 for
Full Adult Couples and families if paid before 30 th April 2015
One form should be completed for each membership or family member. Please return your
completed form and payment to a member of the committee or send by post to Club
Membership Secretary, Carlton Adams, 17 Islington Close, Newport, Shropshire, TF10 7TT.
Tel: 01952 812257. Email: carltonad@gmail.com
Name (please print)
Gender
Date of
birth:
Male / Female (delete as appropriate)
Address
Contact numbers:
Home
Mobile
Email address
Membership Type
Adult
Couple
Student
Family
12-18
5-12
British Tennis
Membership No *
*If you are not a British Tennis Member it is the Club’s policy to register all members for British Tennis
Membership. If you DO NOT want to be registered as a free BT Member, please tick the box.
Amount enclosed: £________
Please make Cheques payable to Boughey Gardens Tennis Club. If you prefer to pay by bank transfer
our bank details are; Branch Lloyds Newport, Sort Code 30-96-02, Acc No 00624799
Signed: _______________________________ Date: _______________
The Information given on this form is for Boughey Garden’s official use only and will be handled in the
strictest confidence.