Application for Membership

Full Name  
Address  
Home Telephone Number  
Daytime Telephone Number  
Date of Birth  
 
Please list all other clubs of which you are a member  
Have you ever been disciplined by an angling club? yes / no
If yes please give details  
 
Have you a particular interest in any species of fish? yes / no
If yes, which species  
Please list details of any society waters you have previously fished  
Do you know any other senior members?

yes / no

name

How did you hear about the society  
Are you prepared to attend a meeting for your application to be considered? yes / no
If accepted will you?
(a) Agree to regularly attend work parties yes / no
(b) Read and obey the rules of the society yes / no
(c) Attend social and fundraising events yes / no
(d) Are you likely to attend any club, open or pike matches? yes / no
(e) Read and note the newsletter and its contents? yes / no
(f) Fish regularly at any one water?

yes / no

which water?

(g) After two year membership will you apply for a carp night ticket? yes /no

I propose the above named for members of the society

Full Name  
Address  
Home Telephone Number  
Date of joining  

I declare that I wish to apply for membership of the above society and the details I have given are correct. If I am later proven to have knowingly made a false statement then I accept that this will result in my expulsion from the society. I further declare that I am not involved with any group or organisation whose activities may be detrimental to the sport of angling.

 

Signed...................................................... Date............................

Please print and complete this form and forward together with an SAE to: 

Membership Secretary
5 Russet Close 
Tongham 
Farnham 
Surrey  
GU10 1BN