WESTERN CAPE SHORE ANGLING ASSOCIATION

AANSOEK OM LIDMAATSKAP / APPLICATION FOR MEMBERSHIP

DATUM VAN ANNSOEK / DATE OF APPLICATION *

ID NOMMER/NUMBER

OF GEBOORTEDATUM VIR KINDERS SONDER ID / OR DATE OF BIRTH FOR JUNIORS WITHOUT AN ID

VOLLE NAME / FULL NAMES *

VAN / SURNAME *

EPOS ADRES / EMAIL ADDRESS *

SEL / CELL NO *

TEL (H)

TEL (W)

WOON ADRES / RESIDENTIAL ADRESS *

I have received, read, understand and agree to uphold the standards set within the Western Cape Shore Angling Association’s Interclub Competition Rules and Constitution. *

You can find them here

NAAM & VAN / NAME & SURNAME [APPLICANT] *

Met die invul van my naam en van, word bogenoemde informasie en bevestiging as korrek bevestig. / By typing my name & surname I confirm all the above information and confirmations are correct. *

ANGLER DETAIL (Club, Division, “WP number”)

KLUB WAT DIE AANSOEKER AANGESLUIT HET / CLUB THAT THE APPLICANT JOINED *

2OAC

4OAC

BRAC

FBAC

GWAC

POL

TRS

AFDELING / DIVISION *

Junior U/16

Junior U/21

Ladies

Senior

Masters

Grand Masters

WP NOMMER DEUR KLUB TOEGEKEN / WP NUMBER ALLOCATED BY CLUB *

OTHER DETAILS

Gaan hierdie lid oor van 'n ander klub in 'n ander assosiasie? / Is this member transferring from another club in different association? *

Indien hierdie lid van 'n ander klub en vereniging oorgaan, het hy/sy 'n brief van goeie reputasie verskaf? / If this member is transferring from another club & association, has he/she supplied a Letter of Good Standing? *