Membership
Jan 28th, 2010 by Pondlife
NEW MEMBERSHIP APPLICATIONS NOW BEING TAKEN FOR THE 2010 / 2011 SEASON
Print and complete the form below and send it With a first class stamped self addressed A5 envelope to:
Mr C Cobbold, 19 Greengates, Lurgashall, Petworth, West Sussex, GU28 9ES
Please DO NOT CALL at the above address for this purpose at ANY time, without first telephoning 01428 707670
Cheques to be made payable to “ The Rother Angling Club”
A Stamped-Self Addressed envelope, (min 5”x7” A5) must be included for Postal Applications.
When Completing this application please PRINT clearly and include all relevant information
|
Type of membership (Please mark clearly )
|
New member |
Existing member |
|
SENIOR MEMBER
|
£47.00
|
£37.00 |
|
INTERMEDIATE MEMBER (16-18YRS)
Date of Birth……………………………………. |
£33.00
|
£28.00 |
|
SENIOR CITIZEN
National Ins No………………………………….. |
£33.00 |
£28.00 |
|
DISABLED MEMBER
Blue card No……………………………………….. |
£33.00
|
£28.00
|
|
JUNIOR MEMBER
Date of Birth…………………………………………. |
£23.00 |
£18.00 |
NAME:………………………………………………………………………………………………….
ADDRESS…………………………………………………………………………………………….
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
TEL:…………………………………….. EMAIL:………………………………………………