Thursday 10 October 2024
Tel: 01442 863393 | Email: manager@bltsrc.co.uk
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MEMBERSHIP APPLICATION 2024/2025
Member Details
Correspondent Member
Title:
Mr
Ms
Mrs
Miss
Master
Dr
Major
Col
Prof
Bgdr
Cllr
Cmdr
Rev
Capt
GpCn
Insp
Lord
Lady
Baroness
Gen
Sir
Rt Hon
First Name:
Last Name:
Gender:
Male
Female
Date of Birth:
Membership Category:
Squash & Squash 57 - Parent of Junior
Squash & Squash 57 - Senior
Squash & Squash 57 - Senior (Over 70)
Squash & Squash 57 - Student
Squash & Squash 57 - Temporary Senior
Squash & Squash 57 - Under 10 Junior
Squash & Squash 57 - Under 15 Junior
Squash & Squash 57 - Under 19 Junior
Squash & Squash 57 - Young Adult (Under 29)
Tennis - Parent of Junior
Tennis - Senior
Tennis - Senior (Over 70)
Tennis - Student
Tennis - Under 10 Junior
Tennis - Under 15 Junior
Tennis - Under 19 Junior
Tennis & Squash - Senior
Tennis & Squash - Senior (Over 70)
Tennis & Squash - Social
Tennis & Squash - Student
Tennis & Squash - Student Summer
Tennis & Squash - Under 10 Junior
Tennis & Squash - Under 15 Junior
Tennis & Squash - Under 19 Junior
Tennis & Squash - Young Adult (Under 29)
Email:
Mobile:
Emergency Contact Number:
Other Members
Title:
Mr
Ms
Mrs
Miss
Master
Dr
Major
Col
Prof
Bgdr
Cllr
Cmdr
Rev
Capt
GpCn
Insp
Lord
Lady
Baroness
Gen
Sir
Rt Hon
First Name:
Last Name:
Gender:
Male
Female
Date of Birth:
Membership Category:
Squash & Squash 57 - Parent of Junior
Squash & Squash 57 - Senior
Squash & Squash 57 - Senior (Over 70)
Squash & Squash 57 - Student
Squash & Squash 57 - Temporary Senior
Squash & Squash 57 - Under 10 Junior
Squash & Squash 57 - Under 15 Junior
Squash & Squash 57 - Under 19 Junior
Squash & Squash 57 - Young Adult (Under 29)
Tennis - Parent of Junior
Tennis - Senior
Tennis - Senior (Over 70)
Tennis - Student
Tennis - Under 10 Junior
Tennis - Under 15 Junior
Tennis - Under 19 Junior
Tennis & Squash - Senior
Tennis & Squash - Senior (Over 70)
Tennis & Squash - Social
Tennis & Squash - Student
Tennis & Squash - Student Summer
Tennis & Squash - Under 10 Junior
Tennis & Squash - Under 15 Junior
Tennis & Squash - Under 19 Junior
Tennis & Squash - Young Adult (Under 29)
Email:
Mobile:
Emergency Contact Number:
Title:
Mr
Ms
Mrs
Miss
Master
Dr
Major
Col
Prof
Bgdr
Cllr
Cmdr
Rev
Capt
GpCn
Insp
Lord
Lady
Baroness
Gen
Sir
Rt Hon
First Name:
Last Name:
Gender:
Male
Female
Date of Birth:
Membership Category:
Squash & Squash 57 - Parent of Junior
Squash & Squash 57 - Senior
Squash & Squash 57 - Senior (Over 70)
Squash & Squash 57 - Student
Squash & Squash 57 - Temporary Senior
Squash & Squash 57 - Under 10 Junior
Squash & Squash 57 - Under 15 Junior
Squash & Squash 57 - Under 19 Junior
Squash & Squash 57 - Young Adult (Under 29)
Tennis - Parent of Junior
Tennis - Senior
Tennis - Senior (Over 70)
Tennis - Student
Tennis - Under 10 Junior
Tennis - Under 15 Junior
Tennis - Under 19 Junior
Tennis & Squash - Senior
Tennis & Squash - Senior (Over 70)
Tennis & Squash - Social
Tennis & Squash - Student
Tennis & Squash - Student Summer
Tennis & Squash - Under 10 Junior
Tennis & Squash - Under 15 Junior
Tennis & Squash - Under 19 Junior
Tennis & Squash - Young Adult (Under 29)
Email:
Mobile:
Emergency Contact Number:
Title:
Mr
Ms
Mrs
Miss
Master
Dr
Major
Col
Prof
Bgdr
Cllr
Cmdr
Rev
Capt
GpCn
Insp
Lord
Lady
Baroness
Gen
Sir
Rt Hon
First Name:
Last Name:
Gender:
Male
Female
Date of Birth:
Membership Category:
Squash & Squash 57 - Parent of Junior
Squash & Squash 57 - Senior
Squash & Squash 57 - Senior (Over 70)
Squash & Squash 57 - Student
Squash & Squash 57 - Temporary Senior
Squash & Squash 57 - Under 10 Junior
Squash & Squash 57 - Under 15 Junior
Squash & Squash 57 - Under 19 Junior
Squash & Squash 57 - Young Adult (Under 29)
Tennis - Parent of Junior
Tennis - Senior
Tennis - Senior (Over 70)
Tennis - Student
Tennis - Under 10 Junior
Tennis - Under 15 Junior
Tennis - Under 19 Junior
Tennis & Squash - Senior
Tennis & Squash - Senior (Over 70)
Tennis & Squash - Social
Tennis & Squash - Student
Tennis & Squash - Student Summer
Tennis & Squash - Under 10 Junior
Tennis & Squash - Under 15 Junior
Tennis & Squash - Under 19 Junior
Tennis & Squash - Young Adult (Under 29)
Email:
Mobile:
Emergency Contact Number:
Title:
Mr
Ms
Mrs
Miss
Master
Dr
Major
Col
Prof
Bgdr
Cllr
Cmdr
Rev
Capt
GpCn
Insp
Lord
Lady
Baroness
Gen
Sir
Rt Hon
First Name:
Last Name:
Gender:
Male
Female
Date of Birth:
Membership Category:
Squash & Squash 57 - Parent of Junior
Squash & Squash 57 - Senior
Squash & Squash 57 - Senior (Over 70)
Squash & Squash 57 - Student
Squash & Squash 57 - Temporary Senior
Squash & Squash 57 - Under 10 Junior
Squash & Squash 57 - Under 15 Junior
Squash & Squash 57 - Under 19 Junior
Squash & Squash 57 - Young Adult (Under 29)
Tennis - Parent of Junior
Tennis - Senior
Tennis - Senior (Over 70)
Tennis - Student
Tennis - Under 10 Junior
Tennis - Under 15 Junior
Tennis - Under 19 Junior
Tennis & Squash - Senior
Tennis & Squash - Senior (Over 70)
Tennis & Squash - Social
Tennis & Squash - Student
Tennis & Squash - Student Summer
Tennis & Squash - Under 10 Junior
Tennis & Squash - Under 15 Junior
Tennis & Squash - Under 19 Junior
Tennis & Squash - Young Adult (Under 29)
Email:
Mobile:
Emergency Contact Number:
Contact & Privacy Options
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Address
Street 1
Street 2
Post Town
County
AVON
BEDFORDSHIRE
BERKSHIRE
BUCKINGHAMSHIRE
CAMBRIDGESHIRE
CHANNEL ISLES
CHESHIRE
CORNWALL
CUMBRIA
DERBYSHIRE
DEVON
DORSET
DURHAM & CLEVELAND
ESSEX
GLOUCESTERSHIRE
HAMPSHIRE
HEREFORDSHIRE
HERTS.
ISLE OF MAN
ISLE OF WIGHT
KENT
LANCASHIRE
LEICESTERSHIRE
LINCOLNSHIRE
LONDON
MERSEYSIDE
MIDDLESEX
NORFOLK
NORTHAMPTONSHIRE
NORTHUMBERLAND
NOTTINGHAMSHIRE
Outside UK
OXFORDSHIRE
SHROPSHIRE
SOMERSET
STAFFORDSHIRE
SUFFOLK
SURREY
SUSSEX
WARWICKSHIRE
WILTSHIRE
WORCESTERSHIRE
YORKSHIRE
Post Code
Home Telephone
Payment Summary
Total Membership Fee(s)
£0.00
Total of any Joining Fee(s)
£0.00
Total of any Discount(s)
£0.00
Total to Pay:
£0.00
Membership Categories
Name
Description
Fee
Joining Fee
Squash & Squash 57 - Parent of Junior
Squash non playing parent. New category in 2019 as different rate to Tennis Non playing parent.
£42.00
£0.00
Squash & Squash 57 - Senior
£222.00
£50.00
Squash & Squash 57 - Senior (Over 70)
£178.00
£50.00
Squash & Squash 57 - Student
£94.00
£0.00
Squash & Squash 57 - Temporary Senior
£60.00
£0.00
Squash & Squash 57 - Under 10 Junior
£47.00
£0.00
Squash & Squash 57 - Under 15 Junior
£52.00
£0.00
Squash & Squash 57 - Under 19 Junior
£55.00
£0.00
Squash & Squash 57 - Young Adult (Under 29)
£100.00
£0.00
Tennis - Parent of Junior
£78.00
£0.00
Tennis - Senior
£413.00
£150.00
Tennis - Senior (Over 70)
£331.00
£150.00
Tennis - Student
£125.00
£0.00
Tennis - Under 10 Junior
£84.00
£0.00
Tennis - Under 15 Junior
£104.00
£0.00
Tennis - Under 19 Junior
£118.00
£0.00
Tennis & Squash - Senior
£510.00
£160.00
Tennis & Squash - Senior (Over 70)
£408.00
£160.00
Tennis & Squash - Social
£42.00
£0.00
Tennis & Squash - Student
£161.00
£0.00
Tennis & Squash - Student Summer
£62.00
£0.00
Tennis & Squash - Under 10 Junior
£104.00
£0.00
Tennis & Squash - Under 15 Junior
£135.00
£0.00
Tennis & Squash - Under 19 Junior
£152.00
£0.00
Tennis & Squash - Young Adult (Under 29)
£200.00
£0.00