PLTC Membership Application Form

2022 Membership Application

To apply for membership please complete all fields. The 2022 membership year runs from 01/01/2022 to 31/12/2022.
2022 Membership Rates:
For 2022, we are offering two membership options:

1. for the full 12 months

2. for 6 months (either from 1st Jan to 30th June or from 1st July to 31st Dec)

	12 Months	6 Months
Family (co-habiting partners and their children u18) 12 months = €145 6 months = €72.50
Senior 12 months = €90 6 months = €45
Unwaged 12 months = €55 6 months = €27.50
2nd Club 12 months = €70 6 months = €35
Student 12 months = €40 6 months = €20
Over 65 12 months = €70 6 months = €35
Junior 12 months = €30 6 months = €15
Pavilion 12 months = €20 6 months = €10

A fob to gain entry to the courts is an additional €20 (this is a refundable deposit)

I require a fob I do not require a fob
Example: If applying for Senior membership for 6 months and you require a fob, then the fee required will be €65 (the €20 for the fob is refunded to you upon its return if you cease membership).
Member Details:
Adult 1 Name

First Name Last Name
Mobile Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Adult 2 Name

First Name Last Name
Mobile Phone Number
Please enter a valid phone number.
Email Address
example@example.com
If applying for family membership, please enter the full names and dates of birth of all children u18.
Child 1

First and Family Name Date of Birth (dd/mm/yyyy)
Child 2

First and Family Name Date of Birth (dd/mm/yyyy)
Child 3

First and Family Name Date of Birth (dd/mm/yyyy)
Child 4

First and Family Name Date of Birth (dd/mm/yyyy)
Child 5

First and Family Name Date of Birth (dd/mm/yyyy)
In parallel to completing this form, please pay the appropriate membership fee online via your bank to the Portumna Lawn Tennis Club account.

Note: Please ensure that you identify yourself to the club via the available field in your online banking portal (add your name).

Our BIC: BOFIIE2D
Our IBAN: IE96BOFI90394742030435
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2022 Membership Application