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WELSH CLAY TARGET SHOOTING ASSOCIATION

Application for Membership

 

Please Print and return this form to : MRS JY REES  -  GLANYRHAFON,   
CAERSWS, POWYS   SY17 5SA
  

Tel: 07751 353020 (Phone after 6PM only please)

Membership No. ................... Shotgun Certificate No.............................

PART A:

I wish to apply for membership: Please tick

Adult (£50.00) ….  Second Adult living at same address (£40.00)…….. 

Junior (under 21yrs)  £25-00…..  Senior Cit.(65yrs & over) £25 …. Club (£30)  ……

Have you ever been refused membership of any shooting organization.

Please state Yes or no ………

If you are a member of any other Clay shooting Association ie: CPSA please state :

Association Name……………………..……Your membership No………………

Discipline and Class ……………………………………………….

Please print in BLOCK CAPITALS

Surname.............................................…......(Mr. / Mrs. / Miss) DELETE AS APPROPRIATE

Forename(s)...............................................................……….

Address........................................................................………….................................

........................................................

County .......................................................Post Code................................………….

Telephone No..........................................work Tel. No...............................................

_ Please state Date of Birth ........../........../............

Eligibility to Represent WALES .

Born in Wales . Yes/No.  (B) Father born in Wales .  Yes/No.  (C) Mother born in