VICTORIA ANGLING CLUB


FULL NAME

 (& DOB If under 16)

 

ADDRESS

 

 

 

 

 

 

 

 

COUNTY

 

 

Post Code

 

 

Home Tel

 

 

Mobile No

 

 

e-mail address

 

 

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Membership

Catagory

 

 

Please print off the above form, fill in your details, and send it to the Club Secretary, together with the appropriate Membership Fee. (View the News & Notices Page for the Subscription Fees Details). If you are unsure of anything, please contact Barry Simpson, the Club Secretary

 

Please make all cheques payable to Victoria Angling Club, and write you name, address and post code on the reverse of your cheque.

 

Send the completed form, your cheque, and a stamped addressed envelope to:

 

Barry G Simpson

'Glas Y Dorlan'

27 Elmsmere Avenue

Blurton

Stoke-on-Trent ST3 3AF

Staffordshire

e-mail: victoria.angling@ntlworld.com

Tel: 07877 624903

 

 

 

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