WARWICKSHIRE FLY FISHERS

I wish to be considered for Full / Catch & Release / Limited visits / Junior / River membership  

Name………………………………………………………………..…………………………….... 

Address……………………………………..………………………………………………………

Town…………………..…………………..  Post Code………………….……

Email address……………………………………………………………

Telephone number including code…………................…………………

Date of birth………./………./……….    

 Occupation……………………………………………..

I am a member of the following angling Clubs/Associations:-

………………………………………………………………………………………..…………….…

Have you ever been banned from or refused membership of any angling Club or Association?

                                        Please tick          YES……….          NO……….

How many years fly fishing experience have you?      ......................years.  

Are you interested in competition fly fishing?     Please tick          YES……….          NO……….

If “YES” please state please state experience……………..........................………………..

If accepted for membership I agree to abide by the Rules of the Club.   I understand that the above details will be kept on Computer Data Base for the sole use of Warwickshire Fly Fishers.  

Signed………………………………………………….Date………………

For Junior applicants (Under sixteen years) countersignature of parent or guardian

Signed ……………………………………      Date  ………………….

PLEASE RETURN THIS FORM TO –

Brian Pargeter,  71, Copsewood Avenue , Whitestone, Nuneaton   CV11 4TG

Or any Club Officer or Committee Member

For Club use only

Accepted      YES/NO    Welcome Letter……  Number……

.Subscription Paid  £………  Joining Fee  £……..…   C&R Deposit  ....... 

 Photograph…..   Membership List  ……..  M’ship Book  ……..  Maps …….     Car Sticker ..............