Test Membership Form

Landsborough Tennis Club Inc
Po Box 92
Landsborough, Qld. 4550

landsboroughtennis@gmail.com

To join Landsborough Tennis Club Inc., please complete the details below:

Name - primary member(required)

Date of birth(required)

New/renewal(required)

Address(required)

Contact phone number(required)

Email(required)

Membership type(required) Senior Member - $50 per annum ($30 half year - from July 1)

Junior Member - $30 per annum ($15 half year - from July 1)

Family (2 senior + children up to 18 yrs) - $100 per annum ($60 half year - from July 1)

Additional member names/dates of birth (for family memberships)

If this is a Junior Membership application, please provide name, email address and mobile phone number of parent or guardian that will supervise court use by the member

By submitting this form, I declare that I agree to abide by the rules of Landsborough Tennis Club Inc.(required)

Notes:

Annual membership of Landsborough Tennis Club is renewed from January 1 each year.
It is a requirement of Tennis Queensland that we supply the date of birth of each member.

How to Pay:

Cash – To Howard Westmoreland (phone 5499 9795 to arrange)

Cheque – Post cheque with membership form to the address above

Bank transfer –

Suncorp Bank
Account Name: Landsborough Tennis Club Inc
BSB: 484 799
Account No: 507880456
Reference: (please enter your name)

Note – your membership will be processed on correct completion of this form and receipt of payment.

For further enquiries, please contact _________________________