5 Cities Tennis Association
Annual Membership Application January 1 - December 31, 2008
Name #1: _______________________________________
Rating:_________
Name #2: _______________________________________
Rating:_________
Address: _______________________________________
City: ___________________________
State ____ Zip ______________
Day
Phone:____________________ Evening
Phone:____________________
E-mail: _______________________________________________________
Please Circle One of the Following:
List me on the "Players
Looking for Opponents" public section of the website:
Yes No
Please Circle
the following:
Name #1 Will
Play
Name
#2 Will Play
Singles: Yes No
Singles: Yes No
Doubles: Yes No
Doubles: Yes No
I have a partner I need a partner I have a
partner I need a partner
Mixed: Yes No
Mixed: Yes No
I have a partner I need a partner I have a
partner I need a partner
I
authorize Five Cities Tennis Assoc. to publish/distribute my name/phone#
to all members.
Signed _________________________________ Date __________
Signed _________________________________ Date __________
Enclosed is a
check for membership [$25.00]:
$__________
I want a Light Key [$25.00]:
$__________
[Contact Ron
Pellegrini for a key at 805-474-4756]
TOTAL ENCLOSED:
$__________
Five Cities Tennis Association
350
Acero Pl.
Arroyo Grande, CA. 93420