Harrow School Angling Club

Application for Membership

 

 

Applicant’s Name____________________________________________________

 

Address____________________________________________________________

 

________________________________________Post Code__________________

 

___________________________________________________________________

 

Telephone No.____________________________________Date_______________

 

Membership Required (please tick)

 

Senior Membership

 

Senior Citizen(age over 65)

 

Disabled Member

 

Intermediate membership (age 16-21)*d.of.b required

 

Junior Membership (aged 10-16)*d of b required

 

 

Date of Birth______________Applicant’s signature________________________

 

In order to accept your application you must be proposed by a current club member. If you do not know a current club member please provide an appropriate letter of recommendation; eg:a Committee Officer of another club.

 

Proposer_________________________________________

 

Proposer’s address___________________________________________________

 

___________________________________________________________________

 

 

Proposer’s signature______________________________

 

Return Completed form to: Mr D Bartlett, 276 Northwood Rd, Harefield, Uxbridge, Middx. UB9 6PU. Your name will then be added to the waiting list.

 

If you wish your application to be acknowledged please enclose a SAE