BOROUGH SAC

Affiliated to the Irish Federation of Sea Anglers

APPLICATION FORM FOR MEMBERSHIP

Date…………………………………….

Name…………………………………………………………………………

Address………………………………………………………………………………………

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Mobile No. …………………………………….     Email:………………………………….

Age & Parents consent if under 16 years of age

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School/Occupation…………………………………………………………………………..

Are you at present a member of a Sea Angling Club ?   Y/N………

Angling Experience, if any

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Annual Subscription €80 (Senior) , €5 (Junior)

Please print & send application form to Tom Butler, "Seaview", 17 Newtown Park, Blackrock, Co. Dublin