ISLE of WIGHT FRESHWATER ANGLING ASSOCIATION

Secretary .Mr R. J. Kirby. 125 Furrlongs. NEWPORT. Isle of Wight. PO30 2BD.   Telephone: 01983 529617

 

Internet Membership Application Form 2008/9

 

  • MR/MRS/MISS/MS surname……………………………………………………………………………

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    First name(s)…………………………………………………………………………………………...

    First name (s)………………………………………………………………………………(Junior over 12)

    Address………………………………………………………………………………………………………..…..

    ………………………………………………………………………………………………………………

    Post code .…………………..…. Telephone number ….…………………………..……

     

    Env. Agency Rod Licence Nos (optional)       . ………………………………………………………….

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    Subscriptions

    STATUS: delete as NOT applicable SENIOR CITIZEN SENIOR DISABLED JUNIOR

    A £5.00 Joining Fee is applicable to all NEW applications except Juniors

    Senior Citizen £ 30.00 Senior £ 60.00   Disabled £ 30.00 Junior £ 15.00

    NOTE: Junior Subscriptions do not commence until the age of TWELVE,

    Then junior rates ceases upon reaching sixteen years of age before June 1st in applying year.

    An adult senior member or other responsible adult must accompany children under twelve at all times whilst on Association property.

     

     

    Applicants Signature…………………………………................. Application Date……………............

    I enclose the sum of £ …………………. Please make cheques/postal orders payable to I.W.F.A.A.

     

     

    For office use only Date received