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