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MEMBERSHIP APPLICATION FORM

PLEASE PRINT & COMPLETE IN BLOCK CAPITALS AND EITHER RETURN TO THE SHOP BY HAND OR POST TO: CARLETON HILL FISHERY, COCKLAKES, CARLISLE, CA4 0BJ

SURNAME :-…………………………………………………………………….

FORNAMES :-…………………………………………………………………...

DATE OF BIRTH :-………………………………………………………………

OCCUPATION :-…………………………………………………………………

ADDRESS :-……………………………………………………………….……..

POSTCODE :-……………………………………………………………………

TEL. NUMBER :-………………………………………………………………..

MOBILE NUMBER:-……………………………………………………………

E-MAIL ADDRESS :-…………………………………………………………...

PROPOSED BY (Existing Member)……………..……………………………...
  1. B. Not essential but preferable.

CATEGORY OF MEMBERSHIP APPLIED FOR………………………………
Junior (age 12-16)=£40, Concession, (OAP, Full-time student)=£75,
Full (age 16+) =£100, Person and Partner =£125. (Concession P&P=£90)
I CONFIRM THAT IF MY APPLICATION IS SUCCESSFUL I HAVE READ, UNDERSTAND AND WILL ABIDE BY THE FISHERY RULES AND ENVIRONMENT AGENCY BY LAWS AT ALL TIMES.
For more information see:- www.carletonhillfishery.com


SIGNATURE :-…………………………………………………………..
(Parent/Guardian should sign for junior members)