Capitol Squash Application Form

Capitol Squash Club Membership Application Form

Providing 24 x 7 x 365 high quality squash facilities at the lowest cost in Merseyside
Available Memberships are :

Senior Male Monthly : £25

Senior Male Yearly : £260

Senior Female Monthly    : £15

Senior Female Yearly      : £160

Junior Monthly (u19)     : £15

Junior Yearly (u19)    : £160

Junior (Saturday coaching only) : £20

Junior Plus (c/w Saturday coaching) : £30 per month

1 Adult 1 Child* : £35 per month

1 Adult 2 Children* : £45 per month

1 Adult 1 Child with Saturday coaching* : £50 per month

1 Adult 2 Children with Saturday Coaching* : £75 per month

* For female adult reduce monthly fee by £10



Payment Methods :

Proof of Standing Order setup must be shown before admission can be completed

Monthly payments require a Direct Debit OR Standing Order

Yearly payments can be either Cheque or Cash

For DD or SO Payments the Clubs Bank Details are ...

Bank : HSBC

Address : Ormskirk Street, St. Helens

Sort Code : 40-40-07

Account No. : 71867466

Subs upayable on the 9th of each Month - Please mark your DD/SO with ...

" Your Name - Squash" (to assist us with identification)
Name*

First NameLast Name
E-mail*
Date of Birth*

MonthDayYear
Phone Number*

Area CodePhone Number
I wish to apply for*
Reason for joining*
purely to help us
How did you hear about us*
This is just purely for our Content Management
I require a Shutter access Key*
This is for Over 19`s only. £10 refundable deposit on leaving
I understand that if I miss a monthly payment without prior notifcation (verbal or written) then my access to the Club will be deactivated automatically at the end of that month*

I agree to abide by the Terms and Conditions
Should be Empty:

Capitol Squash Club Membership Application Form