Petworth and Bognor Angling Club Membership Application Form
This form may only be used to apply for:
Special Offer Membership - commences 1st December 2019 expires at midnight on 31st March 2021
House No / Street
Post Code
Telephone No.
Email Address
Date Of Birth
Please tick the boxes you require.
Adult £175
Senior Citizen £105
Registered Disabled £105
Intermediate £105
Junior £37
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:

Elmer Road
Middleton on Sea
West Sussex
PO22 6ET


In accordance with our GDPR policy your consent is required for us to process your membership data.
The policy may be found in full on our website and précised below.

Signature: ............................................................ Please Tick if Parent or Guardian
Date: ____/____/________ Your Remittance TOTAL £



We securely hold details of name, address, telephone or mobile number, e-mail address, age, an image and membership category.
The data is held to enable us to produce your membership card and to contact you with regard to club matters.
Petworth & Bognor Angling Club will not disclose your personal data to any third party
By signing this form you are giving us permission to process your personal data specifically for the purposes identified.
You may withdraw your consent at any time. Details of how to withdraw your consent are on the website or contact the Club Secretary via details published in the club handbook.
The full version of our GDPR statement may be viewed on the club website or we can send you a printed copy if requested.

Notes On Completing your Membership Application Form
Registered Disabled Please advise your Disabled Number
Senior Citizens Normal State pension ages apply.
Juniors Aged 13 to 17 years inclusive.
Intermediate Membership For those aged 18 to 24 at the time of joining.
Date Of Birth Required if applying for Concessionary Membership
NB All Membership Applications require 2 Passport Sized Photos and Full Details.