Petworth and Bognor Angling Club Membership Application Form
This form may be used to apply for: ANNUAL Membership - commences 1st April 2017
WINTER
Membership - commences 1st October 2017 (Both expire at midnight on 31st March 2018)
Mr/Mrs/Miss/Ms
Forename/s
Surname
House No / Street
District
Town
County
Post Code
Telephone No.
Email Address
Date Of Birth
Please tick the boxes you require.
  Annual Winter
Adult £99 £62
Senior Citizen £57 £36
Registered Disabled £57 £36
Intermediate £57 £36
Junior £22 £11
Juvenile FREE FREE
Family Membership £172 £107
Associate (Non-Fishing) £2 £2
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.
Please sign, date and send this form together with your Membership Fee, 2 Passport sized photographs(please write name on reverse) and a Stamped (2 x 1st Class Stamps) 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 12 and under but ONLY available in conjunction with an Adult Membership.
NB - Please note that 12 year olds require a rod licence.
Juniors Aged 13 to 17 years inclusive.
Intermediate Membership For those aged 18 to 24 at the time of joining.
Family Membership Available to an Adult and Spouse plus two children under 18. 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.