Test adult application formPlease enable JavaScript in your browser to complete this form.Name *FirstLastGender *FemaleMalePrefer not to sayAddress *Your house name/number, street and town/cityPostcode *Mobile NumberHome Phone NumberEmail Address *Date of Birth *Medical ConditionsEmergency Contact Name *Emergency Contact Number *Membership TypeSocial Membership - £10 for the first year, £15 thereafterTennis Adult: Full year with bonus £20 added to your Advantage CardTennis Adult: £10 per month with nothing added to your Advantage cardTennis Adult 19 to 25 (1 year)Coaching and Fitness (1 year)Social Tennis Parent (1 year)What form of subscription would you like? For more information, please refer to our Membership page. If you wish to cancel your membership within the first 4 weeks, email us at HLTC2019Melton@gmail.com and we will refund you.Total to pay today£0.00Would you prefer to pay in full or monthly?Pay in FullPay MonthlyNot applicable - free trialYou can pay now using the option below, via bank transfer (details at the bottom of this form) or leave payment details blank and print your confirmation email after submitting the form to pay at the club bar instead.Payment DetailsLTA Number (if applicable)How do you prefer to be contacted? *EmailTelephoneIf you intend to pay via bank transfer or set up monthly payments, please make payment to: Hamilton Lawn Tennis Club. Sort code: 30-95-52. Account: 01037464. Please make reference to 'Adult Application' in your payment.PhoneSubmit