WARWICKSHIRE FLY FISHERS Membership Application Form.

I wish to be considered for:

 Full / Catch & Release / Limited visits / Junior / River membership.  (Please circle your choice.)

Name _______________________________________________________________

Address _____________________________________________________________

Town ________________________________  Post Code______________________

Telephone number including code _______________________________________

Email address _________________________________________

Date of birth _____/_______/_______       Occupation ______________________

I am a member of the following angling Clubs/Associations:- ___________________

Have you ever been banned from or refused membership of any angling Club or Association?

Please tick          YES __          NO__    If YES please give details overleaf

How many years fly fishing experience have you? ______ years.

Are you interested in competition fly fishing?          Please tick          YES ___    NO ____

If  YES  please state experience ___________________________________________

Where did you hear about Warwickshire Fly Fishers ? ___________________________

(If you were introduced by a member please give their name, they may be able to claim a discount on their subscription.)

If accepted for membership I agree to abide by the Rules of the Club.

I understand my details will be kept on a Computer Data Base for the sole use of Warwickshire Fly Fishers.

Signed ___________________________Date __________________________

For Junior applicants (Under sixteen years) countersignature of parent or guardian.

Signed __________________________        Date _____________

Please Return This Form Complete with your cheque and a passport size photograph to: 

Tim Haddon, 114 Sapcote Road, Burbage, Hinckley, Leicestershire, LE10 2AY

Or any Club Officer or Committee Member



For Club use only

Accepted   YES/NO       Membership Number___________  Membership List  _________    Email Group _________

Membership Book  ________      Photograph  ______ Maps _______       Car Sticker ______    Bounty recorded _________

Subscription Paid  £  _______ Deposit (C & R) £  ________   Discount £ ________TOTAL £ __________