Application for Membership

Applicants must be resident within the City of Inverness, or the areas of Smithton, Balloch, Culloden and North Kessock

APPLICANT'S NAME

(Block Capitals)

APPLICANT'S ADDRESS

(Block Capitals)

Tel No ______

Is the above address PERMANENT or TEMPORARY? If TEMPORARY, what is your Permanent Address?

PERMANENT ADDRESS

APPLICANT’S SIGNATURE

DATE

We confirm that the particulars given above are correct and the applicant is eligible for membership in accordance with the constitution of the club.

WITNESSED BY:

(1)

Member's Signature Permit No

(2)

Member's Signature Permit No

Return the completed form, together with a stamped addressed envelope, to:

Alan Scott, Membership Secretary, Inverness Angling Club

24 Merlin Crescent, Inverness IV2 3TE

Telephone 01463 235287