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.
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*
*
- 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?
Comments
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Name	Date of Birth