Mitcham Angling ClubMembership Enquiry Membership Benefits Name * First Name Last Name Email * Phone * (###) ### #### Emergency Contact Phone Number * (###) ### #### Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Choose Membership * Junior (116$/ year) *Under 18 year old Pensioner (116$/ year) *Over 65 year old Single (151$/ year) Family (172$/ year) *Up to 4 family members Family Members If you are applying for family membership, please provide family member names and ages below: General Preferences * Fresh water fishing Salt water fishing Payment Preferences * Bank Transfer Pay at Clubhouse Pay Online Member Endorsement Please seek endorsement of application from two members and name them below (where possible at time of application): Terms and Conditions * To meet the various obligations to our sponsors you agree that the club and our sponsors can use your name and your photos for general purposes. You also agree to allowing your contact information to be made available to club members if you are accepted as a member for contact and involvement in our club’s activities. I agree to the terms and conditions Thank you for your application. We will respond soon!
