Macclesfield Waltonians Annual Membership Form 2010
PLEASE READ CAREFULLY AND NOTE THE CHANGE IN MEMBERSHIP SECRETARY AND ADDRESS FOR 2010
I wish to: JOIN or REJOIN .
All membership details are required (except for email address) clearly marked using BLOCK CAPITALS ONLY.
MEMBERSHIP NO.
(REJOINING ONLY)
FIRST NAME
LAST NAME
ADDRESS
TOWN
COUNTY
POST CODE
DATE OF BIRTH
(DD.MM.YYYY)
EMAIL ADDRESS
(name@youraddress.com)
CONTACT NUMBER
Failure to complete all sections of this form and sending a S.A.E full may result in your membership not been processed.
FEES ENTREE MEMBERSHIP
SENIORS (3 ROD) £10 £40
SENIORS £10 £33
O.A.P £10 £20
LADIES £10 £20
JUNIOR (12 - 16) £10 £20
If you require additional tickets, please tick the box below.
(Only available with Senior, OAP and Ladies memberships)
NON-FISHING GUEST TICKET £5
(Only available with Senior, OAP and Ladies memberships)
If you require a night fishing permit, please tick the box below.
NIGHT PERMIT (Herons Pool ONLY) £10
(Only available with Senior, OAP and Ladies memberships)
Please SELECT ONE of the following that best describes your style of fishing?
Carp fishing Bream Fishing All Species
Please return a STAMPED ADDRESS ENVELOPE with your fees to:
Mr Steve Hicks, Membership Secretary
13 St georges Street Macclesfield Chesire SK11 6TG
Fax: 01625 429888, Email: membership@waltonians.co.uk
Cheques made payable to: Macclesfield Waltonians A.S.
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