MAWDDACH & DISTRICT WILDFOWLING & CONSERVATION
ASSOCIATION - MEMBERSHIP APPLICATION FORM

NAME..................................................................................................................

Date of Birth (If Junior Applicant)...................................

ADDRESS............................................................................................................

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TEL.NO...........................................................

E.Mail.....................................................

SHOTGUN CERT.NO.......................................

ISSUING POLICE FORCE…………………………………….

EXPIRY DATE........................

B.A.S.C No.if applicable................................................

PROPOSER
  NAME...........................................................................................
 
ADDRESS.....................................................................................

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

MEMBER of OTHER WILDFOWLING CLUBS ?(specify)............................

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DECLARATION: I agree to abide by the rules of the Mawddach & District Wildfowling & Conservation association as laid down in the Association Rules and the Management Plan for the Lease of the Mawddach Estuary.

I agree to use only non-toxic shot whilst shooting on the Mawddach Estuary.
I authorise the Association Secretary and Treasurer to store my personal details (name, address & phone number) on computer disk, solely for record purposes.

SIGNED:......................................................................   

DATE..................................