WEB APPLICATION
VENTNOR ANGLING & SOCIAL CLUB
Send along with payment to
Secretary:
Christine Basham
APPLICATION FOR MEMBERSHIP – JUNIOR SECTION
To be completed and signed by the applicants Parent/Guardian (please print clearly)
I ___________________________________________agree that my son/daughter
(Full Name) __________________________________________________________
Address______________________________________________________________
Postcode: _______________ Tel No: _________________Mobile:_______________
Email: _________________________Date of Birth: __________________________
Shall become a member of Ventnor Angling & Social Club subject to acceptance by the Committee and in accordance with the appended rules
Data protection act 1994
Signature of Applicant__________________________________________________
Signature of Parent/Guardian_____________________________________________
Address (If different from above) _________________________________________
_____________________________________________________________________
______________________________Postcode: _________Tel No: ______________
Approved:
Chairman________________Secretary_________________Date_________________
Subs paid: £2 YES/NO
Date________________________________________________