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2025 Long Island Tennis Club Membership Renewal Form  
1st July 2025 through to 30th  June 2026
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Membership Status
Compliance with Tennis Victoria
All details are required for affiliation to Tennis Victoria for member insurances and club management and communication.  This data is stored in accordance with the privacy ACT 1988 and is not shared with third parties for marketing and promotion.
I agree to the terms and conditions of Tennis Victoria affiliation and LITC house rules and court management
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Membership
Individual Adult – As identified by the registration – can bring one guest to play (8) times a year and the guest is the responsibility of the member.
Family – 2 Adults and 2 children up to the age of 18yrs. Children registered must be supervised by an Adult. Children are not to be given keys to the club.
Junior - (up to 18 years) Same privilege as a single member
Social Member – (non-playing) Newsletters, invitation to social functions, application for hire of the clubhouse at reduced rates, daytime clubhouse activities. No key provided

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Member Contact Details
Paying Member
Last Name
First Name
Street Address
Suburb
Postcode
Mobile Phone
Landline
Email Address
Payment Details
BANK ACCOUNT DETAILS:

BSB: 013322 (ANZ Bank)
Account Number: 455858628
Account Name: Long Island Tennis Club Inc.
Reference: Initial and Surname. (Please don’t forget or we can’t identify you)

Membership Correspondence:
Jim Lang Treasurer
Jim.lang@tradedata.net
0412559717

Membership Enquiries:
 Russ Kerr  President
 russ.kerr.hol@gmail.com
 0416127727

Rhonda Bennett  Secretary
 0431703330
 rhonda@abcear.com.au
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