Membership
Application Form 2008/2009
Please print this form and fill in where appropriate.
A
£16.00 joining fee must
accompany this form, along with the fee for the type
of
membership and any items you wish to purchase.
No joining fee for Juniors.
For
existing members please use the form found in your book, see index
in book for page Nº
Block capitals please.
*
Obligatory
*NAME
(Mr/Mrs/Miss/Ms)....................................................
*ADDRESS............................................................................
...........................................................................................
...........................................................................................
...........................................................................................
*POSTCODE...........................................................................
TEL
No.................................................................................
Email
address......................................................................
*TYPE
OF
MEMBERSHIP...........................................................
*Reg
No. (if
disabled).............................................................
*Date
of birth
.......................................................................
X......................................................................................X
Signature of Senior Member or Parent responsible for Junior
Member.
Juniors
under the age of 12 must be accompanied by an adult when
fishing.
Fishery
Key....... Badge.......(Please tick if required)
I wish to become a Member of C.A.L.P.A.C for 2008/2009 season and
agree to
abide by their rules contained in the Guidebook, in the knowledge
that any breach of the rules
could lead to my Membership being cancelled. I also agree that
C.A.L.P.A.C.
or any of its representatives will not be held responsible for any
loss, damage or injury whatsoever.
I
enclose cheque/postal order for the sum of
£......................
Cheques/Postal Orders to be crossed and made payable to
CALPAC
Signed.............................................................................Date.........................................
Return
this form to Mr J Bygrave, 419 Wickham Road, Shirley, Croydon CR0
8DP