Cockle Bay Tennis Club - Online Membership Application

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online membership application

Enter details in the fields below. A red asterisk * indicates a required field.

Application Type	New member Existing member renewing
Last Name *
First Name *
Gender *
Member Type *	Senior Junior/Intermediate (under 21 as at 31 December 2021)
Date of Birth *
Occupation
Postal Address *
Email Address *	Please check you have entered the correct address as we will send confirmation of your application to this address.
Secondary Email Address
Home Phone
Mobile Phone 1
Mobile Phone 2
Parent/Guardian and Emergency Contact Name *
Contact Phone *
Any known medical conditions

Joint Member 1

Fill in this section to add an additional person to your membership. If you do not need to fill in this section leave ALL the fields empty and scroll down to see membership fees and payment options.

Last Name *
First Name *
Gender *
Member Type *	Senior Junior/Intermediate (under 21 as at 31 December 2021)
Date of Birth *
Occupation
Email Address
Mobile Phone
Any known medical conditions

Joint Member 2

Last Name *
First Name *
Gender *
Member Type *	Senior Junior/Intermediate (under 21 as at 31 December 2021)
Date of Birth *
Occupation
Email Address
Mobile Phone
Any known medical conditions

Joint Member 3

Last Name *
First Name *
Gender *
Member Type *	Senior Junior/Intermediate (under 21 as at 31 December 2021)
Date of Birth *
Occupation
Email Address
Mobile Phone
Any known medical conditions

Joint Member 4

Last Name *
First Name *
Gender *
Member Type *	Senior Junior/Intermediate (under 21 as at 31 December 2021)
Date of Birth *
Occupation
Email Address
Mobile Phone
Any known medical conditions

MEMBERSHIP TYPE * (Please choose one)

INDIVIDUAL MEMBERSHIP

JOINT MEMBERSHIP

Senior Full membership for men and women aged 21 and over	$395.00 p.a.	or $36.20 monthly
Senior - Dual T&S Discount when a member of Howick Squash Club	$250.00 p.a.	or $22.90 monthly
Midweek Ladies Interclub Midweek interclub and court access Monday to Friday (9am to 3pm)	$270.00 p.a.	or $24.75 monthly
Midweek Restricted Midweek social and court acess Thursday (9am to 3pm)	$175.00 p.a.	or $16.05 monthly
Junior (Under 21) Aged under 21 years	$255.00 p.a.	or $23.40 monthly
Junior Associate Membership Court access to play with a Junior member within Junior Membership restrictions.	$125.00 p.a.	or $11.45 monthly
Social (non playing) Membership to attend club social events only	$55.00 p.a.
Life Member

Couple Two senior members living together at the same address as a married/defacto couple	$710.00 p.a.	or $65.10 monthly
Couple - Dual T&S Discount if members of Howick Squash Club	$445.00 p.a.	or $40.80 monthly
Family Two senior members plus one or more junior family members living at same address	$950.00 p.a.	or $87.10 monthly
Senior + 1 Junior One senior member plus one junior member all living at same address	$585.00 p.a.	or $53.65 monthly
Senior + 2 Juniors One senior member plus two junior members all living at same address	$825.00 p.a.	or $75.65 monthly
Junior X 2 Two junior members living at the same address	$475.00 p.a.	or $43.55 monthly
Junior X 3 Three junior members living at the same address	$705.00 p.a.	or $64.65 monthly

ADDITIONAL CHARGES (optional)

Senior interclub fee ($40.00)

Access tag required for junior member ($25.00 per tag)

PAYMENT OPTIONS * (Please choose one)

IN FULL

MONTHLY PAYMENTS
(Monthly charges include admin fees)

	In Person - EFTPOS/Cash/Credit Card


	Invoice Me – Pay online by credit/debit card


	Online banking – ASB 12-3040-0470262-00

	Direct Debit from nominated bank account Please complete each of the following forms and bring originals to office: 1. Payment Plan Form (PDF, opens in new window) 2. Bank Authority Form (PDF, opens in new window)

	Credit Card through Payment Express Please complete a Payment Plan and Authority Form (PDF, opens in new window) and bring originals to office.

Membership Includes:
  ✓ After hours access tag for seniors
  ✓ Court levy
  ✓ 12-month membership

Not included:
  ✗ Tournament & Senior Interclub Fees
  ✗ Social functions
  ✗ Junior Door Access

Details of your name, address and telephone number will be used to publish a Members List which is held by Cockle Bay Tennis Club and Tennis Auckland. To assist members in arranging tennis matches, the club maintains an up to date membership list. This is viewable by all members of the club. Your details will not be used for any other purposes. You can obtain your details at any time and correct them if necessary. Should you wish certain information not to be published in the membership list, please notify the Club Administrator in writing.

Declaration: (please read and tick) I declare that to the best of my knowledge the information provided above is correct. I understand that if my application is accepted, I will be required to abide by the Club Rules and Club Constitution of Cockle Bay Tennis Club.

Click button below to submit application. Your application make take a few seconds to submit after you click the button so please be patient.

submit application