INVERNESS ANGLING CLUB

APPLICATION FOR MEMBERSHIP

Applicants must be resident within the Town of Inverness, Smithton, Culloden or Balloch.

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

The completed Form should be returned together with a stamped addressed envelope to:

Mr Don Mackay Secretary

4 Maxwell Drive, Inverness

IV3 8DR United Kingdom

Tel.01463 239110