Visit USTA.com
Dallas Tennis Association

 

» Universal Pages

DTA Membership Application

<html>

<head>
<title>DTA Membership Application</title>

<meta name="Microsoft Theme" content="inmotion 011, default">
</head>

<body background="../_themes/inmotion/inmtextb.gif" bgcolor="#FFFFFF" text="#663300" link="#990066" vlink="#CC6633" alink="#FFCC00"><!--mstheme--><font face="Arial, Helvetica"><p align="center"><b><font size="5">DTA MEMBERSHIP APPLICATION</font></b></p>

<p align="center"><img border="0" src="../index/logo.gif" width="141" height="177"></p>

<p align="center"><font size="4"><b><a href="http://www.active.com/donations/donate_step1.cfm?df_id=94">Join
Online via Credit Card</a></b></font></p>

<!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --><script Language="JavaScript"><!--
function FrontPage_Form1_Validator(theForm)
{

  if (theForm.username.value == "")
  {
    alert("Please enter a value for the \"username\" field.");
    theForm.username.focus();
    return (false);
  }

  if (theForm.username.value.length < 4)
  {
    alert("Please enter at least 4 characters in the \"username\" field.");
    theForm.username.focus();
    return (false);
  }

  var radioSelected = false;
  for (i = 0;  i < theForm.gender.length;  i )
  {
    if (theForm.gender[i].checked)
        radioSelected = true;
  }
  if (!radioSelected)
  {
    alert("Please select one of the \"Gender\" options.");
    return (false);
  }
  return (true);
}
//--></script><!--webbot BOT="GeneratedScript" endspan --><form action="/cgi-bin/fmail.pl" method="POST" onsubmit="return FrontPage_Form1_Validator(this)" name="FrontPage_Form1">
  <input type="hidden" name="recipient" value="webmaster@dta.org,office@dta.org,execd@dta.org,president@dta.org,editor@dta.org"><input type="hidden" name="subject" value="DTA Membership Application"><input type="hidden" name="thankurl" value="no">Name&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  <input type="text" name="Name" size="36">
  <p>Address&nbsp;&nbsp;&nbsp; <input type="text" name="Address" size="36"></p>
  <p>City&nbsp;&nbsp;&nbsp; <input type="text" name="City" size="16"> &nbsp;
  State&nbsp;&nbsp;&nbsp; <input type="text" name="State" size="12">&nbsp; Zip
  &nbsp;&nbsp;&nbsp; <input type="text" name="Zip" size="10">&nbsp; </p>
  <p>Home Phone <input type="text" name="home_phone" size="16"></p>
  <p>Work Phone&nbsp; <input type="text" name="work_phone" size="20"></p>
  <p>Email&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
  <!--webbot bot="Validation" B-Value-Required="TRUE" I-Minimum-Length="4" -->
  <input type="text" name="username" size="20"></p>
  <p>Date of Birth&nbsp;&nbsp;&nbsp; <input type="text" name="date_of_birth" size="16">
  &nbsp;&nbsp; NTRP Rating&nbsp;&nbsp;&nbsp; <input type="text" name="ntrp" size="16"></p>
  <p>Male <input type="radio" value="Male" name="gender">&nbsp; Female <!--webbot
  bot="Validation" S-Display-Name="Gender" B-Value-Required="TRUE" --> <input type="radio" name="gender" value="Female"></p>
  <p>Membership Desired&nbsp; <select name="member_desired" size="1">
    <option value="Junior  $10">Junior $10</option>
    <option value="Single  $15">Single $15</option>
    <option value="Family  $25">Family $25</option>
    <option value="Sponsor  $35">Sponsor $35</option>
    <option value="Silver  $100">Silver $100</option>
    <option value="Gold  $250">Gold $250</option>
    <option value="Platinum  $500">Platinum $500</option>
    <option selected value=".">.</option>
  </select></p>
  <div align="left"><p>Participating Family Members:</p>
  </div><div align="left"><p>Name&nbsp;&nbsp;&nbsp; <input type="text" name="Name2" size="36"></p>
  </div><div align="left"><p>Name&nbsp;&nbsp;&nbsp; <input type="text" name="Name3" size="36"></p>
  </div><div align="left"><p>Name&nbsp;&nbsp;&nbsp; <input type="text" name="Name4" size="36"></p>
  </div><div align="left"><p>Volunteer for:</p>
  </div><div align="left"><p>
  <input type="checkbox" name="volunteer_tournaments" value="ON">Tournaments<br>
    <input type="checkbox" name="office_help" value="ON">Office Help<br>
    <input type="checkbox" name="volunteer_social" value="ON">Social
  Activities<br>
    </p>
  </div><div align="left"><p><input type="submit" value="Submit" name="Submit"><input type="reset" value="Reset" name="Reset"></p>
  </div><p>&nbsp;</p>
</form>

<p align="left">
<br>
Contributions are Tax Deductible. Make checks payable to:<br>
<strong>Dallas Tennis Association</strong><br>
<br>
To become a member, you must mail in this form with the appropriate check<br>
made payable to the Dallas Tennis Association to the following address<br>
(unless using the credit card option):<br>
<br>
DTA<br>
P.O. Box 550895<br>
Dallas, TX 75355-0895<br>
<br>
Questions:&nbsp; call (214) 342-9597<br>
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
or email: <a href="mailto:execd@dta.org">execd@dta.org</a>
</p>

<!--mstheme--></font></body>
</html>

 

 
 
 
 
 
Close