Personal Information

Mr. Ms. Miss Dr.

First name:*		Middle initial:
Last name:*		Suffix:

Mailing address:		Phone:
City:		State:		ZIP:

Home phone (please include area code):		Work phone (please include area code):
Date of birth:(mm/dd/yy)* You must be at least 18 years of age to apply.		Cell phone (please include area code):
E-mail address:		Social Security number:

Please provide the name of the person who recommended USPTA membership to you:

Scheduling a Workshop

(Click here for a complete listing of workshop dates.)

Workshop date: (mm/dd/yy)
Workshop city, state:

Payment Information

Please make checks payable to USPTA and mail to the address listed below:

Method of Payment
VISA MasterCard Check (note: membership will not be processed until payment is received)

Credit card number:
Credit Card Security Code:		Expiration date: MM/YYYY
Cardholder's First Name:		Cardholder's Last Name:
Cardholder's Billing Address:		Cardholder State:
Cardholder's City:		Cardholder Country:
Cardholder's Billing Zip code:

Payment information (2010 dues do not include $9 million on-court liability insurance. To purchase insurance, check box below.)

Jan. - $ 137.50	Feb. - $ 125.00	Mar. - $ 112.50	Apr. - $ 100.00
May - $ 87.50	Jun. - $ 75.00	Jul. - $ 62.50	Aug. - $ 50.00
Sept. - $ 37.50	Oct. '10 - $ 175.00*	Nov. '10 - $ 162.50*	Dec. '10 - $ 150.00*

USPTA Code of Ethics

The Association expects its members to be of good character, to treat the public honestly and fairly, and to treat their fellow members in the tennis-teaching profession in the same way. Accordingly:

1. Any complaint against a member of dishonest or unfair dealing, either to the public or to a fellow member, shall be referred to an ethics committee that will be appointed by the President and that will always include general counsel. In its discretion, the ethics committee will act on the complaint, including an attempt to resolve the matter between the parties. Upon the determination of the ethics committee, however, the exercise by a member of his or her legal rights will be recognized and honored, and issues of fact or law will be left to the decision of a court of law.

2. If the ethics committee, in its discretion, considers the charge to be sufficiently serious, it may refer the matter to the Board of Directors, which, after due consideration, will have the power to expel the member or to determine any lesser punishment.

3. Any member who is convicted of a serious crime, as determined by the Board of Directors, will be subject to immediate expulsion from the Association.

I agree to abide by the rules, bylaws and Code of Ethics of USPTA and do all in my power to preserve and enhance the image of the tennis-teaching profession.