APPLICATION FORM
ENGLISH DISABLED FLY FISHERS
Registered Charity No 800452
MEMBERSHIP IS OPEN TO EVERYONE WHO SUPPORTS OUR AIMS:- THE E.D.F.F. HAS THE RIGHT TO WITHHOLD MEMBERSHIP UNDER THE TERMS OF IT'S CONSTITUTION-THIS WILL NOT BE APPLIED UNREASONABLY.
Membership runs from 1st January - 31st December
Type of membership applied for:-
FULL £10.00......... ASSOCIATE £10.00.........
Please state nature of disability
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Do you fish from a wheelchair YES........ NO.........
Full membership is available to those in receipt of D.L.A. at the higher rate, and deaf people.
Applicants must provide up to date proof of eligibility by including with their application a photocopy of one of the following:-
Allowance book
An original letter from an appropriate body ( e.g Benefits agency) discussing the benefit.
Car taxation exemption certificate form.
Name...............................................................................................................................................................
Address............................................................................................................................................................
..........................................................................................................................................................................
.....................................................................................................................Postcode......................................
Telephone...........................................................................Fax.......................................................................
Email................................................................................................................................................................
Signature........................................................................................................Date.........../............../..............
The information provided above is correct: I agree to it being stored on magnetic media for the use by the E.D.F.F. only. There will be no disclosure to any other persons or organisations.
Send completed form with a cheque for £10.00 made payable to the E.D.F.F. to:-
Membership Secretary, Mrs Kay Peet, 9 Whitethorns Drive, Batemoor, Sheffield. S8 8ET. Telephone 0114 2375507 or Email Palominokdp@talktalk.net
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