Non Fishing - Supervisory Ticket

Stoke-on-Trent Angling Society

Non Fishing - Supervisory Ticket
FOR NON FISHING GUEST ACCOMPANYING A FULL MEMBER PLEASE COMPLETE SECTION A. FOR SUPERVISORY MEMBERSHIP OF A JUVENILE, PLEASE COMPLETE PARENTS DETAILS IN SECTION A AND 2 NOMINATED SUPERVISORS IN SECTIONS B & C
Title*
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Contact e-mail*
Required for circulating club related information, treated as confidential.
Contact Phone Number*

Area CodePhone Number
Date of Birth*

DayMonthYear
Your Car Registration Number*
A. PARENTS / NON FISHING GUEST DETAILS
Title*
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Are you renewing an existing Membership? Yes/NO If yes please provide ticket number
Your Car Registration Number*
B. DETAILS OF SUPERVISIORY MEMBER NOMINATED BY PARENT / GUARDIAN
Title*
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Are you renewing an existing Membership? Yes/NO If yes please provide ticket number
Your Car Registration Number*
C. DETAILS OF SUPERVISORY MEMBER NOMINATED BY PARENT / GUARDIAN
Title*
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Post CodeCountry
Are you renewing an existing Membership? Yes/NO If yes please provide ticket number
Your Car Registration Number*
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Non Fishing - Supervisory Ticket£10.00

Postage Cost £2.50

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FOR NON FISHING GUEST ACCOMPANYING A FULL MEMBER PLEASE COMPLETE SECTION A. FOR SUPERVISORY MEMBERSHIP OF A JUVENILE, PLEASE COMPLETE PARENTS DETAILS IN SECTION A AND 2 NOMINATED SUPERVISORS IN SECTIONS B & C

A. PARENTS / NON FISHING GUEST DETAILS

B. DETAILS OF SUPERVISIORY MEMBER NOMINATED BY PARENT / GUARDIAN

C. DETAILS OF SUPERVISORY MEMBER NOMINATED BY PARENT / GUARDIAN