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:
Brian Pargeter, 71
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
Mship Book Photograph .......... Maps Car Sticker ....... Bounty recorded .
Subscription Paid £ Deposit (C & R) £............ Discount £ ..TOTAL £ ..