Name:
Address:
Telephone: Home (Mobile) (Work)
Occupation:
Proposer: Seconder:
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?
Please give details:
Date membership ceased:
Are you interested in? Boat Angling Shore Angling
Do you own a boat?
Can you use an outboard engine:
Are you interested in the social aspects of the club?
Would you support fundraising activities and functions?
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 on the Print button below.
This form is to be completed and returned to
Peter Gaffey, Hon. Secretary
Howth Sea Angling Club
15a West Pier, Howth, Co Dublin