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Newark and District Piscatorial Federation Membership application form 2018-19
The Federation uses the GoCardless system for the payment of membership fees via one-off direct debits. Please visit the GoCardless website (https://www.gocardless.com/) for more information about how the system works. Note that you will not incur any additonal fees for using this payment method.
Please note that young anglers under the age of 14 are no longer required to hold Federation membership but they must be accompanied by an adult at all times when fishing.
By submitting this form, you agree to comply with all Federation rules as published on this website.
Title *
First name *
Your answer
Surname *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Full postal address *
Including postcode
Your answer
Phone *
In case we need to contact you, we require at least one contact number - land line, mobile or both. (If providing both, please separate them with a comma)
Your answer
Email *
Your answer
Joining or Renewing *
Are you joining the Federation or renewing your membership?
Full or Associate Membership *
Do you live within or outside of an 8 mile radius of Newark as defined on the website?
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