Windsor Tennis Club

NominationForm2014/15

PLEASECOMPLETEINBLOCKLETTERS

InformationonMembershipcategoriesandappropriatefeesareavailableon

SECTION 1 -Personal Details

1. First Name Initial Surname

Title(tick one)MrMrs MissMsSex(tick one)MaleFemale

Street 1Telephone (H) Street 2 Mobile Street 3 D.O.B

TownEmailPostcodeEthnic Origin

OccupationDisability

SECTION 2 -MembershipCategory

Family (2P/2C) / Joint / Intermediate 1 / PayPlay / Vacation Student
Family (2P/1C) / Full-Playing / Intermediate 2 / Associate
Family (1P/2C) / Off-Peak / Country / Junior (10-18)
Family (1P/1C) / Gym / Student / Junior (U’10’s)

SECTION 3 –Details of Spouse/Children(Family Membership Only)

2. Name

Title(tick one)Mr Mrs Ms MissSex(tick one)MaleFemale

DateofBirth//

Mobile

Telephone (H) Email


3. Name

Title(tick one)Mr Mrs Ms MissSex(tick one)MaleFemale

DateofBirth//

Mobile

Telephone (H) Email


4. Name / Initial / First Name

Title(tick one)Mr Mrs Ms MissSex(tick one)MaleFemale

DateofBirth//

Mobile

Telephone (H) Email

SECTION 3 - Details of Spouse/Children(Family Membership Only)

5. SurnameInitialFirst Name

Title(tick one)MrMrsMsSex(tick one)MaleFemale

DateofBirth//

Mobile

Telephone (H)Email

  1. IrequestthatI am admitted as aMemberofWindsorTennisClubandifelected,I agreetopaytheAnnualSubscriptionsonce these becomedue.
  2. I accept that the Membership Contract is for a full yearand that the payment by DD option is a means of spreading the payment and not a monthly subscription.
  3. I agree toobserve alltheRules,Bye-Lawsand Regulations oftheClub.

Please tick if youdo not wish to receive any Club Information via email or the Club e-Zine.

SIGNATUREOFCANDIDATE

(ParentorGuardian ifcandidate is under 18)

NOTE:-Thisnomination is theresponsibilityoftheProposerand Seconder. Both signatories mustbeFullPlayingMembers.

NameofProposer

SignatureofProposerDate: NameofSeconder

SignatureofSeconderDate:

Dateproposed:

//Datepassed://

Notes:

Date of Joining://

Date of Leaving://

PleasecontactreceptionatWindsorTennisClubifyouhaveany queries aboutMembership.

T.028 9066 5188