WEB APPLICATION

VENTNOR ANGLING & SOCIAL CLUB

 

Send along with payment to:

Secretary:

Christine Basham

29 Newcomen Road,

Sandown,

Isle of Wight

PO36 8NZ

 

APPLICATION FOR MEMBERSHIP – SENIOR SECTION

 

 

Full Name_________________________________________________________

 

Address____________________________________________________________

 

_____________________________________________________________________

 

Postcode: ___________________        Date of Birth: _________________________

 

Tel: __________________________Mobile:______________________________

 

E-mail:______________________________________________________________

 

 

Subs Paid:    Senior: £8_________Joint £10_______________Social £2__________

 

 

 

Boat House Keys £12_________

 

 

 

Date_________________________                  Fixture Book: YES - NO

 

 The applicant shall adhere to Ventnor Angling & Social Club rules.

Data protection act 1994

The administration of Ventnor Angling & Social club is held on computer and therefore must comply with changes to the data protection act 1994. We need your approval to (a) keep your details on a computer provided that (b) such details will not be passed on to any organisation or used for anything other than club purposes. The said computer has all necessary software and safeguards to protect information. If you approve of this please sign below. Should you object to either (a) or (b) you must notify the secretary in writing along with your application for membership.

 Print name:                                                                               Signature:                                                

 

Accepted: ______________________________Secretary_______________________