SENIOR MEMBER REGISTRATION FORM 2012/2013

Welcome to Avonhead Tennis Club

Please read the Club Information and Rules before completing this form and return it with payment. Please complete one form for each member. SURNAME: . Mr/Mrs/Ms/Miss/Mstr (circle one)

FIRST NAME & MIDDLE INITIAL: .... ADDRESS: ..... SUBURB:..POSTCODE:.. PHONE: (Home) . (Work) ... (Cell).. EMAIL:
Personal information: Please note
[1] Some of your personal information will be stored in databases within the club, Canterbury Tennis and NZ Tennis. This information is retained only to assist the operation of tennis and every care is taken to preserve privacy and meet the Privacy Act. [2] Most club information is now distributed by e-mail, rather than post. Please indicate if you do NOT want to receive correspondence via email

YES to email / NO email (circle one)

MEMBERSHIP CLASS (See descriptions below): Class Senior 19+ Years Mid-week Description Full member of the club A discounted membership for those who play only during the day, mid-week or public holidays when there is no other organised play. Members who wish to play for a Senior Inter-club team must pay a full Senior membership A discounted membership, to assist and encourage students A discounted membership, for play between mid-April and mid-August Cannot play at the club as a member and has no voting rights

Student (with proof) Winter Social, Non-Playing Fees

Group (all fees include GST) Senior Mid-week Student Winter Social

To Club $205 $145 $99 $100 $30

Tennis Cant. & NZ $55 $55 $55 $0 $0

Total Subscription $260 $200 $154 $100 $30

[payment details, over page]

NOTE: [1] Only financial (paid up) members can participate in inter-club competition [2] If a family of, for example, two children and two parents or three children and a parent join the club, then the club will offer a discount off the Senior membership fee. [3] The Club is registered for GST and the Total Sub, apart from coaching, includes GST.

Total Sub

Signature: .. Can you assist the club ??? Do you have time or a trade or skill or access to services which may
assist the club?

Please mention any ..........................................................................

Payment: Cash (please ask for a receipt) Cheque (payable to Avonhead Tennis Club Inc) Internet Banking (Account 03-0855-0400210-00) NOTE: Include your name as a reference code Posting: Avonhead Tennis Club C/- The Secretary P.O. Box 31106 CHRISTCHURCH

A receipt, gate code and new seasons racquet sticker will be sent out once full payment is confirmed for a full membership.

Email enquiries to: tennis@avonheadtennis.co.nz