Membership Form 2010/11

Fill in the the form below and print (print section only). Forward this form together

with payment to:-

Mary Glendinning (Membership Secretary),

 4 Horseshoe Close, Cheddington, Leighton Buzzard LU7 0SB

Enter No

Membership

Discounted Rate Before 1/4/10

Undiscounted rate due 30/4/10

Description

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Adult

£58.00

£68.00

Adult

 

Junior

£29.00

£34.00

Under 16 on the 31st August 2009

  

Student & Concession

£37.00

£44.00

Aged 16 to 22 & in full time education or aged over 60 1st April 2010

  

Family

£136.00

£170.00

Combination of Adults & Junior

Surname

 

D.O.B.

First Name

Address

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N/A

Adult

 

N/A

Adult

 

Child

 

Child

 

Child

 

Child

Tel No

Child

Email

Contact Details.

I have enclosed a cheque made payable to Cheddington Tennis Club for £

Sign.