MEMBERSHIP APPLICATION FORM 2010

Membership Application & Renewal Form
 
1st Apr '10 to Mar 31st '11)
MALAHIDE LAWN TENNIS
& CROQUET CLUB
 
The Square, Malahide, Co Dublin
Phone: (01) 845 2480
Website: www.mltcc.com

Version 1: March 2010
(Complete and return to “Hon. Secretary” at the address above)
 

 
Membership Category
Annual
Subscription
Annual
Levy /Adult
Entrance Fee
(New Members)
Category
 (“X”)
Dues (Euros)
1.) Family (2 Adults + all children under 19)
€670
€20
€480
 
 
2.) Senior (1 adult)
€300
€20
€233
 
 
3.) Over 60 with 15 years continuous service
€150
€20
€233
 
 
3.) Student ( full time education & under 25)
€155
€0
€190
 
 
4.) Junior (full time education & under 19)
€155
€0
€190
 
 
5.) Pavilion (Bar Only)
€35
-
-
 
 
Notes:
 
 
 
Total Dues
€

·         Membership is for one year from April 1st through March 31st.
·         Subscriptions may be paid by cheque, bank draft or 12 month standing order payable to “MLTCC”
·         Subscription for renewal must be paid by May 1st or you will not be eligible to use the club facilities and your membership may be cancelled.
·         Age qualification is your age as of Jan 1st. 
·         All Juniors and children in Family memberships must be over age 7 as of Jan 1st.
·         Members with 15 years of continuous membership and who are over 60 years old, qualify for a 50% discount.
 
Application Type (“X”)   Membership Renewal                      New Application               
 
ADULT MEMBERS                                      JUNIOR/STUDENT/FAMILY U19/25MEMBERS 
Last Name                   First Name                   Last Name                  First Name       DOB (d/m/y)
1.                                                                     1.                                                                     /          
2.                                                                     2.                                                                    /          
3.                                                                     3.                                                                     /          
4.                                                                     4.                                                                     /          
                                                                        5.                                                                     /          
·         CONTACT INFORMATION: PLEASE RE-CONFIRM CONTACT DETAILS – EMAIL ADDRESS AND MOBILE
 
Postal Address:                                                           Other Contact Information:
Address Line 1:                                                            Home Phone:                                                      Address Line 2:                                                           Mobile Phone:                                                    Town:                                                                                  Email 1:                                                                County:                                                                Email 2:                                                                                                       
I agree to adhere to the Rules and By-Laws of the club upon my application being passed by the committee. Completion of this form does not imply admission to the club.
 
Signature:                                                                   Date:                                    
 
Postal, email and mobile phone information will be used to send notices, emails and text message updates on club activities. This data will not be shared with any other organisation.
 
“Part of Malahide’s sporting scene since 1879”