CANTERBURY & DISTRICT ANGLING ASSOCIATION
Application form.

All fields are required
Title:
First name:
Middle name:
Surname:
Permanant Address:
Post Code:
Contact Tel No.
Mobile no:
Email Address:
Car Registration:
Juniors (under16): D.O.B   ie: 01/01/2006      
O A P : Yes  No  
Disabled: Yes  No if yes please supply disabled Reg no:
NEW APPLICANTS can join without a proposer but will be on a probationary membership for their first year.
Proposer:
Members No:
Address:
Seconder:
Members No:
Address:
Membership Type:





Third Rod

3rd Rod Required
Fishery Key
Car Sticker Yes  No
Coarse on Fly Yes  No
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