Membership Application

Personal Information

First name *

Please enter your first name

Surname *

Please enter your surname

Date of birth *

Please enter your date of birth

Mobile / home number *

Please enter a valid phone number

Email address *

Please enter a valid email address

Home address *

Please enter your home address

Enter address manually

Emergency contact name *

Please enter an emergency contact name

Emergency contact phone *

Please enter a valid phone number

Any medical conditions the club should be made aware of (optional, held confidentially)

Membership

Membership type *

Please select a membership type

Proof of age such as driving licence, passport or birth certificate will need to be provided for this membership category.

Promotional Code

Promotional code (optional)

Payment

Subscription payment *

Annually

Monthly by direct debit

Please select a payment method

Direct Debit Instruction

Service user number:

2 9 6 1 4 7

Name(s) of account holder(s) *

Please enter the account holder name(s)

Bank/building society account number * (8 digits)

Please enter a valid 8-digit account number

Branch sort code * (6 digits, e.g. 12-34-56)

Please enter a valid 6-digit sort code

Bank/building society name *

Please enter the bank name

Bank address *

Please enter the bank address

Bank postcode *

Please enter the bank postcode

Instruction to your bank or building society Please pay Wimbledon Racquets & Fitness Club Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Wimbledon Racquets & Fitness Club and, if so, details will be passed electronically to my bank/building society.

View the Direct Debit Guarantee

The Direct Debit Guarantee

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.

If there are any changes to the amount, date or frequency of your Direct Debit, Wimbledon Racquets & Fitness Club will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Wimbledon Racquets & Fitness Club to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

If an error is made in the payment of your Direct Debit, by Wimbledon Racquets & Fitness Club or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society.

If you receive a refund you are not entitled to, you must pay it back when Wimbledon Racquets & Fitness Club asks you to.

You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

Gym Induction

Would you like to book a gym induction? *

Yes - I would like to book (£20)

No thanks

Please select an option

Interests

Main interest(s) * (select at least one)

Badminton

Squash

Gym

Table-tennis

Spinning

Social

Other

Please select at least one interest

Please specify *

Please specify your other interest(s)

How did you hear about us? (optional)

Terms & Conditions

I have read and I accept the terms and conditions (opens in separate window)

You must accept the terms and conditions

Membership Application

Direct Debit Instruction

Application Submitted