Ashfield Angling Club: New Membership Application Form

Before you continue - Save your photo on to the desktop on your PC in the format firstnamelastname.jpg

Please add your Details below:

Personal Details
Title :  
Forename :  
Surname :  
DOB :  
Age :  
Occupation :  
Postal Details
Address :  
Town :  
County :  
Post Code :  
Contact Details
Telephone :  
Mobile :  
e-mail Address :  
Vehicle Details
Registration No :  
Second Car Reg :  
Membership Details
Membership No :  
Membership Type :  
Position :  
Application Date :  
You MUST Upload Your Photo for your Membership Card here
Without a picture you will not be able to complete your application.
So either Save your photo on your desktop, click choose file then select desktop and select the file you stored on the desktop and press OK.
OR after this application has been sent take a selfie or get a friend/family member to take your picture on their phone and email it to the membership secretary YOU MUST SEND YOUR FIRST and LAST NAME in the email with the picture.
Comments - Juniors add your Guardian Full Name and Address
Web Access Details
Username - will be sent to you :  
Password - will be sent to you :  

Once you Submit, you will be taken to the Payments page, PLEASE MAKE SURE YOU PAY to complete your membership application.