Matchpoint tennis - membership

Matchpoint Tennis Membership Application

PLEASE USE BLOCK CAPITALS

Name (Mr, Mrs, Miss) ………………………………………………………………………..

Address …………………………………………………………………………………………….

………………………………………………………………………………………………………….

Contact Number …………………………………………………………………………………

Email Address …………………………………………………………………………………….

Date of Birth ……………………………………………………………………………………….

Date of Joining ……………………………………………………………………………………

Membership category / ANNUAL SUB / PER MONTH / TICK
SELECTION
ADULT / £150.00 / £15.00
JOINT / £270.00 / £25.00
FAMILY / £300.00 / £27.00
JUNIOR(13-17 years) / £60.00 / £7.00
MINI (12 & under) / £40.00 / £5.00

Payments can be made annually or by direct debit month

Please complete and return this form to Matchpoint Lifeline Reception.Payments made by Direct Debit will be taken on the 15th of the month.

ADULT MEMBER DECLARATION: Matchpoint Tennis Club and the above named member agree to adhere to the membership terms and conditions throughout the membership period.MEMBERSHIP FEES ARE NON REFUNDABLE.

Direct Debit Form / Instruction to your
bank or building society
to pay by Direct Debit
Please fill in the whole form including official use box using a ball point pen and send it to: /
Service user number
LifeLine Fitness LTD
Holland Road
Oxted
Surrey
RH8 9BQ / 8 / 0 / 6 / 4 / 3 / 3
Reference
FOR (A N COMPANY) OFFICIAL USE ONLY
This is not part of the instruction to your bank or building society.
Membership Number:
Name(s) of account holder(s)
Bank/building society account number
Instruction to your bank or building society
Please pay (A N Company) Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with (A N Company) and, if so, details will be passed electronically to my bank/building society.
Branch sort code
Name and full postal address of your bank or building society
To: The Manager / Bank/building society
Address / Signature(s)
Postcode / Date
Banks and building societies may not accept Direct Debit Instructions for some types of account

This guarantee should be detached and retained by the payer.

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits

If there are any changes to the amount, date or frequency of your Direct Debit (insert your organisation name) will notify you (insert number of) working days in advance of your account being debited or as otherwise agreed. If you request (insert your organisation name) to collect a payment, confirmation of the amount and date will be given to you at the time of the requestIf an error is made in the payment of your Direct Debit, by (insert your organisation name) or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when (insert your organisation name) asks you toYou can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required.
Please also notify us.