WESTERN CAPE SHORE ANGLING ASSOCIATION

NAME OF SENDER

VOLLE NAME / FULL NAMES

VAN / SURNAME

ID NOMMER / NUMBER

EPOS ADRES / EMAIL ADDRESS

SEL / CELL NO

TEL (H)

TEL (W)

WOON ADRES / RESIDENTIAL ADRESS

BENODIGHEDE / REQUIREMENTS (max 1 of each)

Litter Buckett

LAP No's

STICKERS No's

MEASURE TAPES

KLUB BY WIE HUIDIGLIK AANGESLUIT IS / CLUB WHERE CURRENT MEMBERSHIP IS AT

KLUBSEKRETARIS / CLUB SECRETARY