Registration Form

Personal Details = required

Full Name

Home Address

Mobile Phone

Email Address

Date of Birth

Membership Start

When would you like your membership to start?

As Soon As Possible Specific Date

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

	Category	Cost
	EXISTING LIFE Member SPECIAL - Adult ONLY FOR EXISTING LIFE MEMBERS _ NOT FOR NEW MEMBERS Only available to people aged 16 or over.	£0.00
	Full Membership - Adult Adult Individual Membership including Angling from Piers Only available to people between the ages of 16 and 64 inclusive.	£20.00
	Full Membership Junior - Under 16 Under-16 Junior Membership including Angling from Piers Only available to people between the ages of 10 and 15 inclusive.	£0.00
	Full Membership Over 70 FOC Over-70 with 5 years' previous membership - Free Membership including angling from piers. Only available to people aged 70 or over.	£0.00
	Full Membership Over-65 Over-65 Individual Membership including Agling from Piers Only available to people aged 65 or over.	£15.00

Data Protection

I understand that any personal data I provide on this site will be processed in accordance with the Terms & Conditions and Privacy Policy. I have read and agree to the Terms & Conditions (https://www.fishdover.co.uk/Home/TermsAndConditions) and the Privacy Policy (https://www.fishdover.co.uk/PrivacyPolicy;).

Signature

Date

Please return completed forms to:

Use this form to send an email to another member. You may only send to one member at a time. Your registered email address will be passed on to this member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by the club officers using the Sent Emails page.

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

Copy this message to my email address

Title

Description

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