THE WYKEHAM SPORTS CLUB M/S No(s) MEMBERSHIP ...
THE WYKEHAM SPORTS CLUB M/S No(s) MEMBERSHIP ...
THE WYKEHAM SPORTS CLUB M/S No(s) MEMBERSHIP ...
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<strong>THE</strong> <strong>WYKEHAM</strong> <strong>SPORTS</strong> <strong>CLUB</strong> M/S <strong>No</strong>(s)<br />
<strong>MEMBERSHIP</strong> APPLICATION FORM: September 2012 - August 2013<br />
TITLE(s) FULL NAME(s)<br />
ADDRESS POSTCODE<br />
EMAIL TEL MOBILE<br />
The following categories of membership are available. Please � to indicate how you wish to pay your<br />
subscriptions.<br />
If you pay by Direct Debit your subscriptions will be requested from your bank until you advise us otherwise. Quarterly<br />
subscriptions are only available for payment by Direct Debit.<br />
If you pay Annually by cheque or cash, you will be contacted before the end of the membership year and invited to re-apply.<br />
The rates detailed below apply from September 2012. Applicants are required to submit a cheque to cover the period before<br />
their first Direct Debit takes effect. Please make cheques payable to Winchester College Enterprises.<br />
Categories of Membership<br />
Annual Rate<br />
(Cheque/Direct<br />
Debit)<br />
Please<br />
�<br />
Direct Debit payment<br />
Quarterly<br />
Full Family#** (2 Adults + 2 Children) £644 £165.00<br />
Full Joint** (2 Adults at the same address) £600 £150.00<br />
Full Individual** (Single Adult) £402 £105.00<br />
Family Swimming (2 Adults + 2 Children) £268 £70.00<br />
Lane Swimming (Single Adult) £268 £70.00<br />
Lane Swimming (Joint Adults) £402 £105.00<br />
Fitness Room (Single Adult) £340 £90.00<br />
Fitness Room (Joint Adults) £510 £130.00<br />
Please<br />
�<br />
** Please see the attached sheet, Rules, Terms & Conditions of Membership, which indicates what these<br />
categories include.<br />
# Full Family and Family Swimming Memberships: These categories cover two adults and two children, aged 18 and<br />
under. There is an additional charge of £51.50 p.a. for each additional child in a family.<br />
Please complete the following for ALL children you wish to include:<br />
Full name of child: Age DOB<br />
I wish to pay ANNUALLY by CHEQUE - £ enclosed (payable to Winchester College Enterprises)<br />
I wish to pay ANNUALLY by DIRECT DEBIT - Please find Direct Debit Mandate enclosed<br />
I wish to pay QUARTERLY by DIRECT DEBIT - Please find Direct Debit Mandate enclosed<br />
I wish to apply for a PARKING PERMIT - Application form completed<br />
I am interested in EXERCISE & FITNESS COURSES and would like details, please add my name to your mailing list<br />
I/we confirm I am/we are in good health and know of no reason why I/we should not participate in physical<br />
exercise.<br />
I/we have read and agree to abide by the Rules & Regulations of The Wykeham Sports Club.<br />
Signed: (2): Date:<br />
(1 st applicant) (2 nd applicant)
APPLICATION FOR A PARKING PERMIT AT <strong>THE</strong> PE CENTRE<br />
Winchester College requires users of the PE Centre who wish to leave their car in the car park while using the<br />
facilities or attending courses to display a current Parking Permit in their windscreens. We cannot guarantee that<br />
a parking space will be available and we would like to remind you that you park your vehicle entirely at your own<br />
risk. You should only use the PE Centre car park whilst using the facilities at the PE Centre.<br />
If you wish to apply for a permit, please fill in your details below and return it with your application form.<br />
NAME 1 st CAR REG NO<br />
NAME 2 nd CAR REG NO<br />
FOR OFFICE USE ONLY<br />
<strong>MEMBERSHIP</strong><br />
CATEGORY<br />
FEE PAID<br />
CARD/PARKING PERMIT<br />
ISSUSED<br />
TYPE OF PAYMENT<br />
PLEASE RETURN THIS FORM TO:<br />
The Wykeham Sports Club<br />
Winchester College Enterprises Office<br />
73 Kingsgate Street<br />
Winchester<br />
Hampshire<br />
SO23 9PE<br />
Enterprises Tel: +44 (0)1962 621209<br />
WSPC Reception Tel: +44 (0)1962 621399<br />
E-mail: wykehamsports@wincoll.ac.uk<br />
Website: www.winchestercollege.org
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