Membership Enquiry Form
Which areas of the club are you interested in joining?
*
Tennis
Squash
Padel
Gym
Fitness Studio
Croquet
Bridge
Membership Category
*
Adult
Student
Junior
Personal Information
Name
*
Mr
Mrs
Miss
Ms
Master
Dr
Prof
Sir
Prefix
First Name
Last Name
Email
*
Mobile Number
*
Home Number
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of birth
*
/
Day
/
Month
Year
Date
Gender
*
Please Select
Male
Female
N/A
Additional Info
How would you like to be contacted?
*
Phone
Email
Submit Button
Submit
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