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The Rother Angling Club would like to extend the offer of cut price membership to new & lapsed members from now until 1st June 2010.

If you would like to accept this offer please complete the form below and send it With a first class stamped self addressed A5 envelope to:

Mr C Cobbold, 19 Greengate, 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 “ 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

Cost

Tick

SENIOR MEMBER

£20

INTERMEDIATE MEMBER (16-18YRS)

Date of Birth…………………………………….

£15

SENIOR CITIZEN

National Ins No…………………………………..

£15

DISABLED MEMBER

Blue card No………………………………………..

£15

JUNIOR MEMBER

Date of Birth………………………………………….

£10

NAME:………………………………………………………………………………………………….

ADDRESS…………………………………………………………………………………………….

………………………………………………………………………………………………………………

………………………………………………………………………………………………………………

TEL:……………………………………..    EMAIL:………………………………………………

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