MEMBERSHIP APPLICATION FOR SUNDERLAND FRESH WATER ANGLING CLUB

NAME……………………………….......................

ADDRESS……………………………….................................................................................

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D.O.B……………………

PHONE NUMBER………………………………...............

TYPE OF MEMBERSHIP (CIRCLE ONE ONLY)                              
                                                        
SENIOR      £25 for both lakes

JUNIOR      £10 fopr bottomlake only

O.A.P/ DISABLED £15 (PROOF OF ENTITLEMENT REQUIRED) for both lakes

APPLICATIONS TO
CHEQUES AND POSTAL ORDERS ONLY MADE PAYABLE TO. 
                   
SUNDERLAND FRESH WATER ANGLING CLUB

Keith Garrett   Membership Secretary
15 Bamburgh Crescent
Shiney Row
DH4 4RX

Tel 07968390962

Night fishing applications also to Keith Garrett
Only senior members of 12 month or more will be considered for this and places are limited.

PLEASE ENCLOSE 2 PASSPORT PHOTOS AND A STAMPED ADDRESSED ENVELOPE.