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.

Membership Category*
- Senior Member
- Couple (living at the same address)
- Family Membership (2 adults and any number of juniors 18 and under)
- Intermediate Membership (age 18 to 21)
- Country Membership (resident outside Sussex)
Total
£ 0.00
Payment Method*
- Cheque
- Bank Transfer
Cheques should be made payable to Sussex County LTC.
For bank transfers please contact the club.

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.

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.
Comments
This field is for validation purposes and should be left unchanged.

SUSSEX COUNTY LTC ADULT APPLICATION FORM 2018 – 2019