Stockton Angling Limited - Member Application

Name: (*)

Surname: (*)

House No./Name & Street: (*)

Town: (*)

Postcode: (*)

Phone number: (*)

Email address: (*)

Date of Birth (if under 18 years):

Vehicle Reg. No.:

Section: (*) select one

If the ‘A’ Section is full, do you wish to join the ‘B’ Section? : (*)
Yes No

Name of Proposer:

Name of Seconder:

Are you a member of any other angling club(s)? : (*)
Yes No

If Yes, state which :

Are you a club official or committee member? :

Yes No

Have you ever been expelled from or been refused membership of any angling club? : (*)

Yes No

If Yes, please give details :

Do you hold a current ATDAC membership card? : (*)

Yes No

If Yes, which club issued it? :

(*) I agree to the handling of my personal information in accordance with Stockton Angling Limited Privacy Policy.

Application Form