New Membership - Torquay Angling Club

First Name: **

Last Name: **

Email Address*

Email address of spouse / partner (optional)

Address: **

Contact Number: **

Vessel type/ Length*

Boat & Trailer Registration Number

Membership Type:

Spouse included?

Number of children under 11 years old:

Number of children aged to 17 years old:

Family membership includes up to 2 adults and all direct family members up to 18 years of age.

Initial joining fee for new members*

Optional wash down bay key

Please list two existing members to nominate you for membership:

Current Member Name (1): **

Current Member Name (2):*

Consent*

In the event of my admission as a member, I agree to be bound by the rules of the association.

Please choose your payment method (credit card or Paypal)

Payment Method*

MasterCard

Visa

Card Number Card Number Expiration Date Expiration Date Security Code Security Code Cardholder Name