Membership Application Form
Complete the following form and send payment using one of the methods below to apply for membership.
Your Name:
Email Address:
Phone Number:
Address:
Date of Birth:
Membership Type (see below):
Full Adult
Social
Junior
Full (over 65)
Couple
Family (1 adult)
Primary Junior
Neighbour
Family (Couple)
Student
Honorary
Chaperone
Couple (over 65)
Country
Table Tennis
Coaching Staff
Winter
Amount Paying £ (see below):
Payment Method:
Bank Transfer
Cheque
Debit Card
Credit Card
Cash
Notes: (Enter any queries.
Couple or family members enter
names of other joining members.)
Submit