www.westonanglingclub.org

MEMBERSHIP APPLICATION FORM

PLEASE PRINT:

SURNAME: (Mr/Mrs/Miss/Ms/Master) ….………………………………………………………..

FIRST NAME(S): …………………………………………………………………………………..

ADDRESS: …………………………………….. TEL: (Incl Std) …………………….………..

..…………………………………… MOBILE: …………………………….……..

………………………...................... POST CODE: ………………………….……

……………………………………. DATE OF BIRTH: …………………….……

E: MAIL: ………………………….................. AGE: ……………………

STATUS: (PLEASE TICK WHERE APPLICABLE)

Under 10 .….... Junior ….…. Senior ….…. Ladies ….…. Invalid …….. Pensioner ……..

IF PENSIONER OR INVALID MEMBERSHIP, PROOF OF STATUS MUST BE INCLUDED.

e.g. PHOTOCOPY OF D.W.P. AWARD LETTER, OR SIMILAR.

IF UNDER 10 PERMIT IS REQUIRED, PLEASE ENCLOSE PASSPORT PHOTOGRAPH

DECLARATION: I, THE UNDERSIGNED, AGREE TO ACCEPT THE RULES OF

WESTON ANGLING CLUB RUNCORN AND UNDERSTAND THAT I WILL

BE PUT ON A WAITING LIST AND INFORMED WHEN A VACANCY ARISES.

WE WILL CONFIRM THAT YOU ARE ON THE WAITING LIST

YOU MUST ENCLOSE 2 S.A.E.’S

SIGNED: …………………………………. DATE: ………………………………..

SEND NO MONEY NOW!

PLEASE RETURN COMPLETED FORM TO: W.A.C.R.

C/O 29 PENN LANE

RUNCORN

CHESHIRE

WA7 4TP

“NO HOUSE OR PHONE CALLS WHATSOEVER PLEASE”

Note: You can download application forms from the club web site, www.westonanglingclub.org

‘Contact us’Page

WESTON ANGLING CLUB

RUNCORN