Membership Form

PAC Membership Application 2004-05
NAME:
ADDRESS:

		POSTCODE:
UK ADULT £18.50		UNDER 18/OAP/DISABLED £9.00
STUDENT/UNEMPLOYED £11.50 (Please enclose NUS card/UB40)		FAMILY £23.50 (Max. 2 adults and 2 children)
OVERSEAS ADULT £25.00		Have you previously been a PAC member? Yes/No
Please send the completed form along with a cheque or postal orders made payable to "The Pike Anglers Club of Great Britain" to: The Membership Secretary, PAC, PO Box 272, Altrincham, WA14 1GA, UK

or if you prefer to receive a membership form in the post please e-mail memberships@pacgb.com