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

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