OCLTCC Adult Membership Application Form 2013/14
Please print clearly
First name: / Surname:Category /
To be completed by the coach / Signature of Head Coach or Deputy Head Coach
(To be completed by the coach): I recommend this person as a potential recruit for the ……th team
Payment details
Subscription(for rates see overleaf) / £ / Payment method (delete as applicable)
Bank transfer / Cheque
Joining fee
(see overleaf) / £
Total / £
Other details / OK to show in Members’ Directory?
e-mail address / For court booking confirmations, alerts & messages / YES / NO
Home phone / One at least required for other members to contact you / YES / NO
Work phone / YES / NO
Mobile phone / YES / NO
Address / Post Code:
Occupation
British Tennis number (if applicable)
I agree to abide by the rules and policies of the Club / YES / NO
I agree that this information may be retained and used for club purposes / YES / NO
Signature / Date
How did you hear about OC?
For office use only:
Date / DateProcessed onto CBS / Member activated on CBS
Payment received / Log in details sent
Subscription rates 2013/14
Membership category / Month of joining /Joining fee
April to June / July to Sept. / Oct. to Dec. / Jan. to March
Peak Advanced / £210.00 / £157.50 / £105.00 / £52.50 / £50.00
Peak Intermediate / £180.00 / £135.00 / £90.00 / £45.00 / £50.00
Improver / £120.00 / £90.00 / £60.00 / £30.00 / £50.00
Off-peak Advanced/Intermediate / £150.00 / £112.50 / £75.00 / £37.50 / £50.00
Temporary (max. 6 weeks) / £70.00 / £70.00 / £70.00 / £70.00 / n/a
Young Adult (aged between 19 and 25 on 31 August 2013) / £65.00 / £48.75 / £32.50 / £16.25 / Waived
Social / £15.00 / £15.00 / £15.00 / £15.00 / £15.00
Payment options
(1) Electronic transfer to the following account:
Account Name: OCLT&CC
Sort code: 30-92-89
Account No: 01870611
To ensure we can match payments received to specific members, especially where there are multiple members in one family, please make separate payments for each member, using the surname and first name as the payment reference, e.g. “smithjohn” for John Smith. If your bank does not permit you to specify a different payment reference for each payment, please pay by cheque instead.
(2) Payment by cheque
Please make your cheque out to “OCLT & CC” and write the member’s surname and first name on the back of the cheque as the payment reference. Please send a separate cheque for each member.
What next?
Please send this form countersigned by the Head or Deputy Head Coach, together with your cheque (unless you are paying by electronic transfer) to
OCLTCC Membership Database Manager, c/o 24 Fawnbrake Ave, London SE24 0BY.
Once we receive your payment it will be noted on the membership database and you will receive a standard confirmation email including your log-in ID and password for the Court Booking System and Members’ Directory. If you do not receive it within 10 days of payment please let us know at
There is plenty of other useful information on the members’ web-site at