Name:            

Address:         

Telephone:       

(Home)       (Mobile)         (Work)  

Occupation:      

Proposer:        

Category:          

 Senior       Student       O.A.P       Junior

Date Of Birth (If less than 16 years of age):   

Are you or ever have been a member of a sea angling club?   

If YES, please give details:     

Date membership ceased:  

Are you interested in?     Boat Angling       Shore Angling 

Do you own a boat?     YES      NO     

Can you use an outboard engine:    YES      NO  

Are you interested in the social aspects of the club?    YES      NO   

Would you support fundraising activities and functions?    YES      NO 

I the undersigned agree to be bound by the rules of the Howth Sea Angling Club.

Signed: ________________________________________________________________________      Date: ______________________

Thank you for completing this application form. Please Check that the information entered is accurate. To print your application please click File and Print.

This form to be completed and returned to:

Peter Gaffey, Hon. Secretary

Howth Sea Angling Club

15a West Pier, Howth, Co Dublin

A deposit of €40 (refundable if not accepted as a member) must accompany this application.

info@howthsac.ie