Circle C Tennis Membership Application

Classification: (Select One)
	Family Membership ($117.50/mo+tax) - Initiation Fee: $500
	Single Membership ($107.50/mo+tax) - Initiation Fee: $400
	Senior Family Membership ($107.50/mo+tax, 60+ years old) - Initiation Fee: $400
	Senior Single Membership ($80/mo+tax, 60+yrs old) - Initiation Fee: $300
	Junior Executive ($80/mo+tax, 19 to 34 yrs old) - Initiation Fee: $400
	Junior Membership ($55/mo+tax, 18 yrs and under) - Initiation Fee: $300

Name: Date of Birth (mm/dd/yy): / /

Home Address: City: Zip:

Email: Home Phone:

Occupation/Profession:

Business Address: City: Zip:

Business Phone: Business Fax:

USTA Rating: Are you interested in league play?:

Best time for you to play? Weekdays: Weeknights: Weekends:

Spouse's Name in Full: Date of Birth (mm/dd/yy): / /

Spouse's Occupation:

Spouse's Business Address:

Spouse's Business Phone: Business Fax:

USTA Rating: Are you interested in league play?:

Best time for spouse to play? Weekdays: Weeknights: Weekends:

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