Form

BARNTON & FRODSHAM ANGLING CLUB

MEMBERSHIP APPLICATION 2008/2009

If you wish to apply for membership of the Club, please complete this form and return it together with a cheque or postal order - made payable to ‘Barnton & Frodsham AC’ - for the appropriate amount and a 1^st Class stamped addressed envelope (minimum size of 8 inches x 4 inches) to:

The Membership Secretary

Barnton & Frodsham AC

P.O. Box 297

Northwich

Cheshire,

CW8 4X

The fee rates for a new member for 2008/09 are:

Seniors - £20 + £12 joining fee + £3 for a copy of the Club key (if required) = £35

OAPs (65 years or older) - £10+ £12 joining fee + £3 for a copy of the Club key (if required) = £25

Juniors (8 to 15 years, inclusive) = £3

Membership Requirements:

Type of membership for 2008/09: Senior / OAP (delete as needed)

Club key required: Yes/No

Name: ………………………………………………………………………………………..

Address: ……………………………………………………………………………………..

………………………………………………………………………………………………..

Date of Birth: ………………………… Value of your cheque/postal order: £

Telephone no. (optional): ……………………………………………………….

E-mail address (optional): ……………………………………………………….

If you require any Junior cards, please give the name and date of birth of the child/children:

Name: ………………………………………………. … DOB: ………………………