MLTC Membership Form

MLTC Membership Form
Please fill in the following form for yourself and any family members. Once you have submitted the form you will receive an invoice and payment details within 7 days. You can pay membership fees online at 01 0745 0025077 00.

Please email mltc@outlook.co.nz if you require further information regarding Manawatu Lawn Tennis Club fees.
Name

First NameLast Name
Date of Birth
Gender

MaleFemale
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Phone Number
Membership Type

Full 12 Month MembershipSummer MembershipGold Member (65+)Tertiary Student (under 25)Junior MembershipFamily Membership