GST NO: 49-585-888

Application for Family Membership

Primary Members Name:

Gender:

Primary Email Address:

Online Booking Password:

Residential Address:

Contact Numbers:

Business Details (If applicable):

Additional Family Members:

Membership Plans:

You will automatically opt-in to receive newsletters. An unsubscribe link is provided if you wish to opt-out.

Date of Birth:

The club relies on voluntary and / or paid services during the season. Where possible your assistance will be greatly appreciated.

Payment Method: 

Please ensure the total amounts are paid in full corresponding to your selecting above to avoid any delay in membership processing.

Payments posted to:

Memberships
Geyser City Squash Club

PO Box 1609

Rotorua 3201

Reference: Use your SURNAME

Account: BNZ 02-0416-0022537-000

Visitor Fees:

Visitor sessions are charged at $ 10 per session and invoiced out at end of each month. Non payment will result in removal of visitor rights.

I herewith and hereby apply for membership of the Geyser City Squash Racquets Inc Club in the category nominated above and on acceptance, agree to abide by the rules of the Club. I understand that upon acceptance I shall be liable for any subscription applicable to my membership at that time, and will remain liable for payment of ongoing Annual Subscriptions until such time as my membership is terminated in accordance with the Rules of the Club.

Graded Memberships: I hereby give my consent to my name, phone number and grade being displayed on the Geyser City Squash Club Notice board. This consent is given in accordance with The Privacy Act 1993.

Location:
17 Depot Street

PO Box 1609

ROTORUA 3015