Adult Membership Form

Name(s)*
First Name Last Name

Family membership: Please provide the names of spouses/partners and children under the age of 18.
Couple membership: Please provide both names.
Address*
Address Line 1 Address Line 2 City County Post Code
Phone Number*
Phone Number (optional)
Email Address*
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 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.
Display Name and Contact Details*
Display your name and contact details on the club website and clubhouse noticeboard.
- Yes
- No
Your name and 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
Please confirm at the time a photograph is taken, if you do not wish this to be used on the club website.

Card Total
£ 0.00
Credit/Debit Card*

MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Signature*
Date*
*
- I agree to abide by the Rules and Bye Laws of the Club which are posted on the Club noticeboard and website, and I consent to scltc.co.uk collecting and storing my data from this form. Card data is not stored.
Phone
This field is for validation purposes and should be left unchanged.

SUSSEX COUNTY LTC ADULT APPLICATION FORM 2018 – 2019

First Name	Last Name