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

CHEQUES SHOULD BE MADE PAYABLE TO WARWICKSHIRE FLY FISHERS

 

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 £ __________

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