Membership Application Form

Demographic Details

Preferred Title

Firstname(s)

Surname

Gender

Male
Female

Date of Birth

Date of Birth :: dd/mm/yyyy

Occupation

ID Type *

ID Number *

Physical Address(physically where you live)

Number & Street

Suburb

City

Postal Address(only if different from physical address)

Number & Street

Suburb

City

Contact Details

Home Phone

Work Phone

Mobile Phone

Email Address *

About Sport

Sporting Preferences

I play tennis only
I play squash only
I play both but play more tennis
I play both but play more squash

Competition Preferences

Squash Interclub
Tennis Interclub
Squash Box League

Squash Ability

Tennis Ability

Squash Code

Tennis Code

How did you find out about the club?

What special skills do you have that you'd be willing to share with the club?

Membership Type

Please select the membership type and the payment frequency you would like.

Please note that there is a one off fee of $25 for an access card, or which $10 is redeemable upon its return at the conclusion of your membership.

By submitting this form I agree to abide by the Club's rules and pay the appropriate subscription fees until such time as the Club acknowledges my written resignation.

*Membership Type*	*Annual Payment*		*Monthly Payment*
Unlimited		$310		$28 x 12
Tertiary (25 years or less)		$176		$16 x 12
Midweek		$176		$16 x 12
Family (2 Adults and 2 Children)		$695		$60 x 12
Junior (18 years or less)		$126		$12 x 12
Parent (1 Adult and 1 Child)		$410		$36 x 12
Corporate 2		$1020	NA
Corporate 4		$2040	NA