Mem. Sec. Graeme Frankham, 5 Katandra St. Boyne Island, 4680, Qld.
How did you hear about TSTA?
Previous member ___ Town Booklet___ Flyer___ Friend___ TQ___ Other___
Previous member ___ Town Booklet___ Flyer___ Friend___ TQ___ Other___
If you do not wish the club to communicate to you by broadcast email please indicate here______
Family membership - discounts apply only with immediate family Please contact juniorrep@tannumtennis.com.au for all Junior/Student/Junior Beginners Info
As a member of the Association, I agree to be bound by the rules of the Association in force at that time. As an affiliated Club with TQ we have public liability insurance
Signature:
Date:
If under 18
Parent/Guardian Name:
Parent/Guardian Signature:
Association use only:
Please fill out & post along with payment to:
(Incorporated under the Associations Incorporation Act, 1982 ABN 23 375 322 425
Membership:
Fees:
Senior
Junior (u/18)
TQ’d Elsewhere
Full Membership
Receipt No.
TSTA Member No.
Received by (print name)
Processed: (registrar to sign)
TSTA
TQ
Bank details BSB 656 400 Acc 102574367