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
Primary Junior
Family (1 adult)
Neighbour
Family (Couple)
Student
Honorary
Chaperone
Couple (over 65)
Country
Table Tennis
Coaching Staff
Winter
Young Adult
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