BARNTON & FRODSHAM ANGLING CLUB

MEMBERSHIP APPLICATION 2010/2011

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 2010/11 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) = £4

Membership Requirements:

Type of membership for 2010/11:  Senior / OAP (delete as needed)

Club key – (this opens the gates at Heesom’s Pool, Longton’s Pool and the Rifle Range car park) - required: Yes/No

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

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

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

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

Telephone no:    ……………………………………………………….

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

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

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

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

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