1. Additional Charges/Services
Membership 2017/2018 Invoice
GST No
CLUB USE ONLY:
Date Paid
Payment #
Receipt #
Key #
Database
Member Details (Including Family/Couple):
Family Name
First Name
Gender
Interclub?
DOB 1.
M/F
Y/N 2. 3. 4. 5.
Address:
Work:
Home:
Mobile:
Memberships:
Type
Fees (Circle)
Additional Charges/Services
Fee (Circle)
Senior
18 and over at 1/1/18
$395
Senior Interclub (excludes ball costs)
$50
Couple
Partner at same address
$750
Key Card (all new members except juniors)
$30
Junior
under 18 at 1/1/18
$245
New Junior Joining Fee
$40
Junior plays Senior
$280
Junior Interclub (coaching & ball costs) pre-Xmas
Junior Interclub (coaching & ball costs) post-xmas
$110
Student
Full time tertiary under 25 with current semester invoice
Uniform Boy
Uniform Girl
$45
Midweek
Playing rights 9am - 3pm Mon - Fri
Midweek Interclub (excludes ball costs)
Family
Senior couple + children under 18 at 1/1/16 living at home
$995
Total Fees $
Total Extras
Grand Total (All Charges GST inclusive)
Payment Options:
Cash
Cheque - post with this form to: Campbell Park Tennis Club, PO Box , Greenlane, Auckland 1546
Direct debit: ASB put surname in the reference & return this form to the club
As a Member of Campbell Park Tennis Club: Phone:
I agree to abide by Club rules
I agree to my name/telephone numbers being available to other members
Signed: