MEM BILLERICAY & DISTRICT
ANGLING CLUB WEB
NEW
Membership Application
Please
complete the application in CAPITALS
SENIOR
MEMBER - ORDINARY 16yrs
and over Two
passport size photos required
OAP 65yrs
Surname _______________ Forename
________________
Address___________________________________________
___________________________________________
Town ___________________________________________
County____________________________________________
Post
Code_____________ Have
you previously been a
BDAC member. YES / NO
Tel.
No.________________________________
E-Mail
_____________________________________
ASSOCIATE
MEMBER (WIVES / FIANCEES) ONLY
Surname _________________ Forename __________________________________
FULL
NAMES OF JUNIOR MEMBERS 7th
Birthday - 16 yrs
1___________________________________________ Date
of Birth ____/____/____
2___________________________________________ Date
of Birth ____/____/____
3___________________________________________ Date
of Birth ____/____/____
4___________________________________________ Date
of Birth ____/____/____
MEMBERSHIP
FEES
ORDINARY £58.00 (including
joining fee) _______________________
O.A.P. £34.00 (including
joining fee) _______________________
ASSOCIATE £10.00 _______________________
JUNIOR £10.00 _______________________
CLUB
BADGE £1.50 _______________________
GATE
KEY £2.00 (Key
required for all gates) _______________________
KEY
FOB (plus Free car
sticker) £1.00 _______________________
TOTAL
ENCLOSED _______________________
MAKE
SURE YOU ENCLOSE:-
1. PO / Cheque payable to Billericay &
District Angling Club
SEND TO: P.O.BOX 2046, Wickford, Essex SS 12 9YW.
2. Application
Form completed and signed.
3. Two
Passport size photographs of Senior member.
I hereby apply for the membership(s)
and agree, if my application is accepted, to abide by the rules
and by-laws of Billericay & District Angling Club and accept
full responsibility for any Juniors embodied in this application
and fully understand that my membership may be terminated if
they are found unaccompanied by any adult on a club water.
Signed ____________________________ Date___/___/___
HELPLINE
PHONE No. 0870 240 7074
NOTES:
Proof of membership will comprise a Membership Certificate which
will also be the official receipt.Members who join in the club close season (April & May) will not receive their documents immediately. These will be dispatched after the handbook for the coming season has been printed following any changes agreed at the AGM in March. Closed season applicants can have a temporary payment receipt if they include a s.a.e. with their application form.
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