Application form


                NORTH WALSHAM KINGFISHERS ANGLING CLUB MEMBERSHIP APPLICATION FORM



Name.


Address.


                                                               

Post code.                                                              E-mail address.  

                        

Date of birth.                                                          Phone no.                                        


Proposed by ( if known).                                      Date of application.



Please tick which category of membership you are applying for.

FULL  (16 - 64)……….       SENIOR CITIZEN  (65 or over)…………       

REGISTERED DISABLED………JUNIOR (under 16)……..


Send completed form with a stamped self addressed envelope to:- 


ROY TURTON, SECRETARY.

NORTH WALSHAM KINGFISHERS A.C.

15 WILKINSON WAY, NORTH WALSHAM, NR28 9BB.


                                                                                               

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