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Harrow School Angling Club
Membership Renewal for 2019/20 season

Cost Tick
SENIOR MEMBERSHIP (see work party refund note below) £63.00*
HARROW SCHOOL STAFF MEMBER (see work party refund note below) £39.00*
LADY MEMBER £29.00
SENIOR CITIZEN (aged over 65 on 1/5/19) £29.00
DISABLED MEMBER £29.00
INTERMEDIATE MEMBERSHIP (aged 16-21: ie: aged over 16 & under 21 on 1/5/19) £24.00
Name of intermediate member……………………………….
Date of birth…………………………………………………….

JUNIOR MEMBER (ie: aged over 10 & under 16 on 1/5/19)
1.Name of Junior…………………………………..
Date of birth………………………………………... £18.00
2. Name of Junior………………………………….
Date of birth………………………………………… £18.00

Donation to Club funds (please show amount) (Thank you for your donation which will be used for improvement of club waters) £
Payment by cheque to Harrow School Angling Club (HSAC) £
Payment by bank transfer (see below) £

*£20.00 WILL BE REFUNDED ON COMPLETION OF ONE WORK PARTY
(dates: 7th, 14th, 21st and if needed 28th April)

• PAYMENT BY CHEQUE OR BANK TRANSFER TO: HARROW SCHOOL ANGLING CLUB
• DETAILS FOR BANK TRANSFER: (BARCLAYS) SORT CODE: 20-37-16. ACCOUNT NO: 93457435.
• PLEASE QUOTE YOUR SURNAME & MEMBERSHIP NO. (SHOWN ABOVE)
• PLEASE INDICATE ABOVE YOUR METHOD AND AMOUNT OF PAYMENT
• RETURN RENEWAL FORM WITH PAYMENT (IF NOT PAYING BY BANK TRANSFER), PASSPORT SIZE PHOTO & 9” X 4” SAE TO: MR D BARTLETT, 276 NORTHWOOD ROAD, HAREFIELD, UXBRIDGE, UB9 6PU.
• PLEASE DO NOT SEND ‘SIGNED FOR DELIVERY’, NO PERSONAL CALLERS PLEASE
• YOU CAN ALSO PAY FOR NEXT SEASON’S MEMBERSHIP AT THE AGM ON 28th MARCH (PLEASE COMPLETE THIS FORM AND BRING IT WITH YOU). SORRY NO CARD PAYMENTS

RENEWAL MUST BE RECEIVED BEFORE 31st MARCH 2019

Data Protection Statement
“We need members’ personal data in order to maintain the club’s membership records and administer the club as a recreational members only angling club. We will not supply your personal data to any third party without your consent. Full details of how we process personal data is available on the club website. A hard copy of this is available on request to: Club Secretary, David Bartlett, who can also be contacted if you need further information about your rights as a data subject.”