Kinver Feeliners Memebership Application Form
Name  
Address  
 
 
Postcode  
Telephone Number   Mobile Number  
E-Mail Address  
Car Registration No.   E.A. Rod Licence No.  

Memebership Required

(Please tick one box)

   Senior £95
  OAP £85
  Junior £20 (under 16 or 18 in full time education)
  Junior Free if Parent or Grandparent a member
  16-18 year old £47.50 - not qualifying for free membership
  18-21 year old £71.25 - not qualifying for free membership

Important
I agree to abide by the rules of Kinver Freeliners Angling Club and understand that I am required to take part in at least 1 working party per close season during the term of my membership.

Signature  

If you have any queries, email Steve Willims (KFAC Secretary): Steve Williams

Please enclose a completed form together with your photograph and payment to;

Steve Williams
18 Birchlands
Bridgnorth
Shropshire
WV15 5ED

Tel

01746-769038
Mobile

0786-1239335

Cheques made payable to; Kinver Freeliners AC and the card number written on back.