Membership Application Form 2011/12
Surname: _____________________ First Name: _____________________
Postal Address: _________________________________________________
Suburb: ___________________________________ Postcode: ___________
Phone: (H) ___________________ (M) _________________________
Email*: _______________________________________________________
(*Email is the main communication medium from the club and will only be used for important club updates.)
Male [ ] Female [ ] Date of Birth: _______________
If you are a new member to the club:
Played Previously: Yes [ ] No [ ]
Club: _________________________ Division: ________ Position: ______
How did you hear about Campbelltown Tennis Club?: _______________________________________________________________________________
For Junior members and under 18 year olds only:
Please nominate one associate member who will have full voting rights on your behalf
(this person must be over 18 years of age ie. parent or guardian).
Name: _______________________________________________________
Signature: ___________________________ Date: ___________________
SENIOR MEMBERSHIP
[ ] Earlybird Adult Summer $165 (up to end of October)
[ ] Earlybird Concession Summer (proof required) $150 (up to end of October)
[ ] Adult Summer $195
[ ] Concession Summer (proof required) $180
JUNIOR MEMBERSHIP
[ ] Earlybird Junior Summer $ 95 (up to end of October)
[ ] Junior Summer $ 105
[ ] Junior & Senior Summer $ 160
[ ] Winter (If Summer Member) $ 85
[ ] Winter (If non-Summer member) $ 100
[ ] Family (min. 1 senior & 1 junior member) 10% discount on total fees
*Summer fees include Presentation Night 2011/12 entry fee for players.
[ ] Club Shirt (Men: XS-5XL, Ladies: S-3XL, Child 4-16) $30 per shirt
CTC Social Competitions
We run a number of social competitions for all ages and skill levels during both summer and winter. We encourage everyone, especially beginners and new people to the club to join one or more of our social competitions as they are all about having fun and meeting other players from around the club.
As these may change from season to season depending on interest, please talk to one of our contacts at the bottom of this page to find out more information.
Payment Options
Our preferred method of payment is via electronic fund transfer, which can be made to:
A/C name: Campbelltown Tennis Club
Institution: Commonwealth Bank of Australia
BSB: 065 165
A/C number: 1006 1484
Please ensure you use your name in the reference so that we can identify payments.
You may also forward a cash or cheque payment along with this completed form to a Committee Member or post a cheque to:
The Treasurer
Campbelltown Tennis Club
PO Box 52
Campbelltown SA 5074
If you have any further queries regarding payment please get in contact with the Treasurer:
David Sosnowski
By signing below I agree to abide by all regulations, rules and directives issued by the Campbelltown Tennis Club Committee.
Signed: __________________________________ Date: _____________
For any questions or enquiries please contact us.