WEB APPLICATION

VENTNOR ANGLING & SOCIAL CLUB

Send 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

Accepted: ______________________________Secretary_______________________