Stroud Table Tennis Club

Season 2014-15
Stratford Park Leisure Centre, Saturdays from 11:00am - 1:00pm

Membership Application Form


Player name

Postal address
(incl post code)

Fixed telephone No.

Mobile telephone No.

Email address

Date of birth

ETTA membership No.


Annual membership fee:-
- Adult 5.00.
- Junior(born in 1997 or later)/College Student: 3.00

Signature:

(parent if junior player)
Date: / /


Please bring the completed form and fee to the next club session
or post to Julien Crowther
Box Cottage, Swells Hill, Brimscombe, Stroud. GL5 2SW. Tel. 01453 885653
julienfcrowther@gmail.com or


Cheques payable to Stroud Table Tennis Club


Note:
All players must register with Table Tennis England which can be done on-line at
https://www.tabletennis365.com/etta/membership