STTC Membership Application

Title
Name*
Company
 Address*
City*
State/Province*
Zip/Postal Code*
Phones Home Work  
FAX
E-mail*
Date of Birth
USATT Member  Member #:   Rating:    Not Required 
Other names and dates of birth on family membership.

*Required.


Type of membership:

Basic Individual - $25.00
Basic Family - $35.00
Basic Seasonal - $15.00 (Three months.)
Blocker - $100.00
Pusher - $250.00
Chopper - $500.00
Lobber - $1,000.00
Smasher - $2,500.00
Looper - $5,000.00
Destroyer - $1,000.00

Do you wish to subscribe to our e-mail announcements list:

Yes   No

We are currently accepting payment only by check .
Make check payable to : SUNRISE TABLE TENNIS CLUB

Send your membership check to:
Sunrise Table Tennis Club
c/o Margo Lindsay
2391 Sumatran Way #5
Clearwater, FL. 33763

*Note:  We are a (501)(3)(c) Public Charity Organization.  Your donations above the Basic Membership level are tax-deductible eligible (excluding the value of benefits received).  Please consult your tax advisor.