tennis club m ship form 2012
TRANSCRIPT
7/31/2019 Tennis Club m Ship Form 2012
http://slidepdf.com/reader/full/tennis-club-m-ship-form-2012 1/1
MEMBER DETAILS
Title: Mr Mrs Miss Ms Dr Prof. New Member Renewing Member
Given name: Family name:
ELIGIBILITYPlease tick one of the eligibility criteria and fill in ALL relevant details:
Uni of Melb Student (Student No: _ _ Course: _ _)
University of Melbourne Staff / Contractor (Staff / Contractor No: _ _)
University of Melbourne Alumni (Student No: _ _ Course: _ _)
Student / Graduate of another University (Uni / Course / Completion Date: _ _)
Other
TENNIS STANDARD / PREVIOUS COMPETITION EXPERIENCE
How would you rate your tennis standard? Beginner Intermediate Competitive Advanced
MEMBERSHIP RATES$60 - Full Membership (required for discounted access to comps, coaching & social events)
$35 - Social Membership (provides access to discounts for social events & coaching)
PAYMENT & ACKNOWLEDGEMENT
Membership Type Club Membership Fee: $
PaymentMethod
Cash Cheque addressed to “Melbourne University Tennis Club”
Internet banking - NAB Account 083457 515614271 (When transferring via internet banking,please indicate transaction purpose & your name, eg. “mship RFederer”. The receipt / transactionrecord should be attached to this application form.
SubmissionMethod
Form submitted in person to Club Representative _ _
Form emailed to [email protected] Form posted into Club Mailbox in Sports Centre (do not leave cash in mailbox) Form posted to P.O. Box 4309, Melbourne University, Victoria, 3010
I agree to abide by the rules and regulations pertaining at all times to the use of the University Sports facilities, services &equipment.
Signed: Date: MUTC OFFICE USE ONLY
Confirmation of payment method (please circle) : Cash received / Internet Transfer completed / Cheque cleared
Version Date: 5 November 2011
Postal Address Suburb Postcode: Phone mobile: Home: Business: DOB: Email: MUS is committed to observing the requirements of the Information Privacy Act. We collect your information for the purpose of providing your access to our sporting facilities and services, and it is also retained for the development of a Sports Alumni at the University of Melbourne. By completing this form you consent to MUTC & MUS using your information for these purposes. If, in the future you declineto be involved in the MUS sports alumni, you can so advise MUS. You can also contact MUS for a copy of the MUS Privacy Policy.MUTC abides by its Club Constitution in relation to access to the Club’s membership database. Your information is also provided toTennisVic as part of the Club’s affiliation requirements.
M’ship No. Processed by: Date: