Adult Membership Application Form

Membership Category*
- Senior Member
- Couple Membership
- Family Membership
- Intermediate Member
- Country Member
Living at the same address.
Please provide both names.
Two adults and any number of juniors aged under 18.
Please provide the names of spouses/partners and children under the age of 18.
Aged 18 to 21 in full-time education.
Resident outside Sussex.
Membership Fee
£ 0.00
Name*
First Name Surname
Name*
First Name Surname
Junior Details*
Please provide the names and dates of birth of children under the age of 18.
Name Date of Birth

Email Address*
Phone Number*
Phone Number (optional)
Address*
Address Line 1 Address Line 2 City County Post Code
British Tennis Membership Number
Please note that this information may be stored on a computer database and a website run on a server outside the EU and UK.

Website Registration*
Access to the club website members' area (court booking system, photo gallery, member contacts, news, events, tournaments, and more).
- Yes
- No
Your name/email address and other optional data are stored on the club website.
Please advise at the time a photograph is taken if you do not wish the photograph to be used on the club website.
Display Contact Details*
Display your contact details on the club website and clubhouse noticeboard.
- Yes
- No
Your contact details are stored on the club website.
British Tennis Membership*
Permission for the club to sign you up to free British Tennis Membership Lite.
- Yes
- No

Membership Fee
£ 0.00
Payment Method*
- Bank Transfer
- Card
- Cheque
Please contact the club.
Please pay when this form is submitted.
Cheque payable to Sussex County LTC with member`s name on the back of the cheque.
Credit/Debit Card

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Signature*
Date*
Date Format: DD slash MM slash YYYY
*
- I wish to apply for membership and, if accepted, I agree to abide by the rules and bye-laws of the club which are posted on the club noticeboard and the club website. I consent to scltc.co.uk collecting and storing my data from this form. Card data is not stored.
How did you hear about us?
Name
This field is for validation purposes and should be left unchanged.

Name	Date of Birth