MEMBERSHIP FORM

Name *

Name

First Name

Last Name

Contract(s)

Captain's Name & Day of Contract

H-Phone

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C-Phone

(###)

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W-Phone

(###)

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address *

2015-2016 Membership Fee

Adult $90 Family $180 (2 adults, 2 kids under 18) Senior $60 (62 years +) Student $50 (18 years & under) WTC $50 (if you play WTC only) GUEST FEE $10 (One visit)

I release Hockessin Indoor Tennis from any liability while participating in any activity on the premises.

Signature