Petworth and Bognor Angling Club Membership Application Form
This form may be used to apply for: ANNUAL Membership - commences 1st April 2010
WINTER Membership - commences 1st October 2010 (Both expire at midnight on 31st March 2011)
Mr/Mrs/Miss/Ms
Forename/s
Surname
House No / Street
District
Town
County
Post Code
Telephone No.
Mobile No.
Email Address
Date Of Birth
Working Party
Please tick the boxes you require.
  Annual Winter
Adult £80 £48
Senior Citizen £40 £25
Registered Disabled £40 £25
Student £40 £25
Junior £20 £10
Juvenile FREE FREE
Family Membership £120 £70
Associate (Non-Fishing) £2 £2
Postal Applications 90p 90p
IMPORTANT - Please enter details and print off a form for each Family Member
Registered Disabled Number if Applicable  
Cheques should be made payable to Petworth and Bognor Angling Club with cheque guarantee number printed on reverse.
Payment by Instalments - You may now make your payment in two instalments by submitting two cheques, each for half of your Membership Fee. The second cheque may be post dated by up to one calendar month. Enclose both cheques with your Application Form. Please tick the box if paying by this method.
Please sign, date and send this form together with your Membership Fee, 2 Passport sized photographs(please write name on reverse) and a Self Addressed Envelope size C5 9" x 6" to:
Membership Secretary
The Old Blacksmiths Yard
Water Lane
Angmering
West Sussex
BN16 4EP
Tel 01903 770099
Signature: ............................................................ Please Tick if Parent or Guardian
Date: ____/____/________ Your Remittance TOTAL £
Notes On Completing your Membership Application Form
Registered Disabled Please advise your Disabled Number
Senior Citizens Normal State pension ages apply.
Juveniles Free to those aged 11 and under but ONLY available in conjunction with an Adult Membership.
Juniors Aged 12 to 16 years inclusive.
Student Membership Please provide proof of full time education on School/College headed notepaper signed by Staff Member.
Family Membership Available to an Adult and Spouse plus two children under 17. Photo's and details required for ALL applicants on Family Membership.
Associate Non Fishing memberships will only be accepted with full details and 2 passport sized photos.
Date Of Birth Required if applying for Concessionary Membership
Working Party Please state which venue you would be able to help your Club on Work Parties.
NB All Membership Applications require 2 Passport Sized Photos and Full Details.
For instant membership JOIN TODAY at the outlets listed on the website. Please note that when joining at these outlets payment MUST be with either cash or cheque payable to PETWORTH AND BOGNOR ANGLING CLUB. Unfortunately Credit and Debit cards cannot be accepted for payment of Memberships.