Preston Cross Squash Club membership application form

	Preston Cross Squash Club
Membership Application
Please complete your details below. When you have finished, press the submit button. You will then get a summary page, which you should print off, sign and return, together with your remittance, to:
Preston Cross Hotel Rectory Lane Little Bookham Surrey KT23 4DY

Your Details

Mrs

Miss

First Name:

Last Name:

Student? Yes No

Standard: Beginner Improver Intermediate Team

Address 1:

Address 2:

Postal Code:

Telephone:

e-mail:

If applying for family membership, please complete the following

Spouse/Partner Details

Mrs

Miss

First Name:

Last Name:

Student? Yes No

Standard: Beginner Improver Intermediate Team

Junior Members

First Name:

Last Name:

1:
2:
3:

Membership Fees. Please tick appropriate boxes and enter total below
	£
	£
	£
	£
	£

Total cost:

Thank you for completing the application, now press the Submit button below and print out and post your application details. If the details are not correct, press the BACK button on your browser to return to this data entry form.