APPLICATION FOR MEMBERSHIP FORM

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WILLINGTON AND DISTRICT ANGLING CLUB
APPLICATION FOR MEMBERSHIP
SEASON 2012

FULL MEMBERSHIP IS CONFINED TO PEOPLE RESIDING IN WEAR VALLEY DISTRICT COUNCIL AREA

POSTAL APPLICATIONS ONLY

To be completed by all applicants and sent to the Secretary:- Mr. E.W. Clegg, 7 Vicarage Gardens, Low Willington, Crook, Co. Durham. DL15 0UZ
included with a 8" x 6" S.A.E. for return. ( do not include any money orders until notified of availability )

MEMBERSHIP APPLICATION FOR ( please tick appropriate )

SENIOR MEMBER £50.00 plus £ 10.00 entry ________


JUNIOR MEMBER £17.00 _________


SEASON PERMIT HOLDER £55.00 plus £10.00 entry ______
( for people residing outside Wear Valley Council Area )

FAMILY TICKET
( please enquire for more details for this application )

Seldom Seen Ponds £28.00 plus £10.00 entry _______
( Coarse Fishing Only Permit )

PLEASE DO NOT INCLUDE ANY MONEY ORDERS UNTIL NOTIFIED OF AVAILABILITY

Applicants Name ____________________________

Address ___________________________________

__________________________________________

__________________________________________

__________________________________________

Post Code__________________________________

Tel. No. ____________________________________

Date of Birth_________________________________

ANGLING INTERESTS
please tick
Salmon / Sea Trout________

Trout / Grayling ________

Coarse Fish ________

1) I understand to abide by the Angling Club rules and hereby apply for membership.

2) Persons convicted of poaching or being refused entry to another Angling Club may be refused membership to W.& D. A. C.

3) Continuous membership only applies where a members subscriptions are paid on or before 22nd March each year.

Signed____________________ Date _______________