2020 NTA MEMBERSHIP APPLICATION

2020 Newburg Tennis Club Membership Application

Please complete all information and SUBMIT
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
MY SHIRT SIZE IS:*
All SIZES are ADULT sizes
I AM INTERESTED IN PARTICIPATING IN THE FOLLOWING NTA PROGRAMS:

ADULT CLINICSUNDAY DOUBLESBOWLING PARTYHOLIDAY PARTYWORK ON AN NTA COMMITTEEOther
REFERRED FOR MEMBERSHIP BY:
Please provide the name of the NTA Member who referred you to the CLUB. If not applicable put N/A
MEMBERSHIP TYPE:*

ASSOCIATE MEMBERSHIP* $15.00INDIVIDUAL MEMBERSHIP $30.00FAMILY MEMBERSHIP** $40.00
*ASSOCIATE MEMBERSHIP is a reduced Annual Dues for those who wish to support and fellowship with NTA, however play very sparingly and may not need to access all of the activities of the CLUB.

**FAMILY MEMBERSHIP is for the MEMBER that has dependents who reside in the same household and is considered a legal dependent/spouse.
Please select how you will be paying MEMBERSHIP DUES in the above amount by Check or online payment below:

CHECK- Please make Check payable to Newburg Tennis Association, P.O. Box 20832, Louisville, KY 40250
Total:
prevnext( X )
Associate Membership
Associate Membership

$15.00



Individual Membership
Individual Membership

$30.00



Family Membership
Family Membership

$40.00



Total

$0.00
Signature*

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

2020 Newburg Tennis Club Membership Application