FOUNDED 1925
Hillside Lawn Tennis Club
(affiliated to The Lancashire LTA)

RECREATION GROUND
LIVERPOOL ROAD - AINSDALE
SOUTHPORT
Application for Membership 2004


Name:
Mr, Mrs, Miss*
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Address:

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  Post Code: .............................. Tel: .........................................................
  Email address (if you have one): ........................................................................................

Type of Membership (2003): Senior £75 / Student £35 / Junior £35 / Country £35 / Over 60s £35 / Juvenile£10/ Non-Playing £5 (Juvenile (attending Junior school)- one adult in the family must be at least a non-playing member)
Please indicate if you require key(s) for: Courts / Clubhouse / Courts & Clubhouse*
(£2 deposit per key must be enclosed. You must be over 18 to have a key to the clubhouse - please ask to be shown how to operate the burglar alarm)
Date of Birth (if under 18): ..................................................................................................................................
Previous Clubs (if any): ..................................................................................................................................
Introduced by (if relevant): ..................................................................................................................................
Where did you hear about us? ..................................................................................................................................

Notes: Our acceptance of this form duly completed, together with the membership fee, entitles the Applicant to provisional Club Membership ONLY. The form will be submitted to the Committee for Approval, and the Club shall not be called upon to offer any explanation in the event of the Application being rejected. Membership fees will be returned in full to rejected Applicants. Accepted members will be informed in writing, usually within a month of application.
In signing this form you are agreeing to abide by the rules of Hillside LTC and that your membership record may be held on computer, to be used solely for Hillside LTC purposes.

Signature of Applicant:
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Date:
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Please return this form, when completed, with your membership fee, to:
The Treasurer, HLTC, 59 Dunbar Crescent, Southport, PR8 3AA

* Delete any not applicable.