Membership

Membership

The Charlotte Table Tennis Club, Inc
Membership Application

Name (first, last)__________________________________

Address_________________________________________

(city, zip)________________________________________

Home Phone_____________________________________

Business/Cell Phone_______________________________

Email___________________________________________

Membership type:

____ Single $15/month (paid $45 per quarter)

____ Family $20/month (paid $60 per quarter)

Dues are paid per quarter:
Jan/Feb/March Apr/May/June July/Aug/Sept Oct/Nov/Dec

                     Remit membership application & payment to Tom Miller or John Pahl

                  This membership entitles you to benefits & access as listed in club bylaws
                 and supports our efforts in providing quality table tennis activities in Charlotte.
                                     Please return this form with your first payment.
                             It is your responsibility to keep your membership current.
                                   Dues are for membership, regardless of attendance.
                       You may pay a partial quarter upon initial membership payment.
                     All members and guests enter and/or participate at their own risk & release
                       The Charlotte Table Tennis Club Inc & sponsors from any liability or injury.
   No pay / no play policy will be enforced.

charlottettc@carolina.rr.com