2020 NTA MEMBERSHIP APPLICATION

2020 Newburg Tennis Club Membership Application

Please complete all information and SUBMIT
Name *

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

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

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

ADULT CLINIC SUNDAY DOUBLES BOWLING PARTY HOLIDAY PARTY WORK ON AN NTA COMMITTEE
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* $15.00 INDIVIDUAL MEMBERSHIP $30.00 FAMILY 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:
prev next ( X )
Associate Membership Associate Membership
$ 15.00

Individual Membership Individual Membership
$ 30.00

Family Membership Family Membership
$ 40.00

Total

$ 0.00
Signature *

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Payment Methods

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2020 Newburg Tennis Club Membership Application