YARRALUMLA TENNIS CLUB INC
PO Box 7101, Yarralumla ACT 2600
MEMBERSHIP/RENEWAL FORM FOR 1 July 2017 to 30 June 2018
The Membership year is from 1 July to 30 June. Please note that THE COMBINATION LOCK FOR THE GATE WILL BE CHANGED ON 1 AUGUST. Don’t be caught out: renew your membership by 30 June.
Either complete the information below or join online at:
MEMBERSHIP CATEGORIES AND FEES
Member type /Joining Fee
(new members only)
/ANNUAL FEE
Adult (19 plus) / $25 / $130 (includes TennisACT Affiliation fee)Junior (8 –18) / $5 / $50 (includes TennisACT Affiliation fee)
Full Time Student (19-24) / $15 / $65 (includes TennisACT Affiliation fee)
Family / $40 / $260(includes TennisACT Affiliation fee)
(Family) - Includes 2 Adults (with or without children), Full time Students (19-24 years) and Juniors
Half year ANNUAL FEE applies from 1 January
NEW MEMBER(S) ( ) RENEWAL ( ) Please tick where appropriate
Family Name / Given Name / Male/ Female / Date of Birth/ M’ship Category / Joining Fee
(if applic) / Annual Fee /
Total
ADDRESS:
EMAIL ADDRESS:
(To save postage costs the Club prefers to use email for communicating with members, so please provide your email address if you have one. A different email address for each member can be provided if you wish.)
PHONE: (H)(W) (MOB)
You acknowledge that as a member of YTC your details will be recorded onto Tennis Australia’s Online Tennis systems and you agree to their terms and conditions and privacy policy.
PAYMENT: May be made by Cheque or Direct Debit to (or by Credit Card Online):
Direct Debit:Yarralumla Tennis Club Inc
BSB: 062-900
Account No: 00800344
(Please identify payment with first initial and surname of the first member listed above e.g. CBrown) / Cheque:
Please make cheques payable to Yarralumla Tennis Club Inc. / Credit Card:
By online application only:
Please forward your completed form with remittance or with a copy of direct debit receipt to:
/ Or /The Membership Secretary (David Norris)
Yarralumla Tennis Club Inc
PO Box 7101
YARRALUMLA ACT 2600 Ph.6285 4728