BROADBRIDGE HEATH TENNIS CLUB

Membership Application 2010

Full name(s) and category of persons applying for membership:

Adults: _______________________________________________________________

Students: _____________________________________________________________

Juniors (under 12): ___________________________________________________

Juniors (12-18): ______________________________________________________

Coaching Only _________________________________________________________

Address Line 1 ________________________________________________________

Address Line 2 ________________________________________________________

Address Line 3 ____________________________ Post Code _________________

Email _______________________________________ Tel No __________________

Are you interested in coaching? YES / NO
Would you like newsletters by email? YES / NO
Your preferred evening for Club Sessions: Mon / Tue / Wed / Thu / Fri

Subscription Rates:
Family £ 105.00 (partners and children up to age 18)
Adult Couple £ 90.00
Adult £ 50.00
Student £ 25.00
Junior £ 20.00 (Age 12 - 18)
Junior £ 15.00 (Age 11 and under)
Coaching Only £ 25.00

By submitting this application, you agree that all persons named on
this form will abide by the rules of The Club.

Signed ________________________________ Date ___________________

Sum Enclosed ___________________

Please make cheques payable to: Broadbridge Heath Tennis Club

Return Application Form to:

Peter Ballard (Membership Secretary)
23 Church Road,
Broadbridge Heath,
Horsham, RH12 3LD

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