Membership Application for the Manheim Tennis Club

Name________________________________________________

Street Address_________________________________________

Town/City___________________________ZIP______________

Home Phone_______________Cell Phone___________________

E-mail_______________________________________________

Birthdate__________________NTRP_________ (If you have one)

For new members there is a $ 500 assessment in addition to regular dues.

Regular dues: $ 150  Senior(70 & 0ver) $ 100 Regular husband/wife: $ 200

Senior husband/wife: $ 150  Junior: $ 30

Participation in Club Events:

          1.  Play in our Wednesday evening doubles league?  Y  or  N

          2.  Play in our morning senior league (60 & over)?  T  or  N

          3.  Play in our club's poker tournament?  Y  or  N

          4.  Play in our club's golf tournament?  Y  or  N

          5.  Play in our club's table tennis tournament?  Y  or  N

          6.  Play in our mixed doubles league?  Y  or  N

          7.  Play on our club's Senior Men's 4.0 team?  Y  or  N

          8.  Play on our club's Super Senior Men's 7.0 team?  Y  or  N

          9.  Play on our club's Super Senior Men's 8.0 team?  Y  or  N

         10.  Play on our club's Super Senior Men's 9.0 team?  Y  or  N

         11.  Play on our club's 70 & over team?  Y  or  N

         12.  Play on our club's Central PA Doubles team?  Y  or  N

Print application and send it and a check made out to the Manheim Tennis Club to

          William Loercher

          Sec./Tres. MTC

          314 W. High St.

          Manheim, PA  17545