Bleasby Carp Syndicate Application
Please fill in the form below.
Full Name
*
Mr/Mrs Etc
First Name
Last Name
Date of Birth
*
Address
*
Street Address
Street Address Line 2
City
State
Postal Code
Phone Number
*
-
Area Code
Phone Number
E-mail
*
Where do you currently fish ?
*
Do you know a current syndicate member who will vouch for you ?
Will your current syndicate give you a reference if required?
Car/Van Registration and Brand
Are you familiar with the rules of the syndicate ?
Could you please provide links to your active social media accounts
When do you usually fish?
Weekdays Mon-Fri or Weekends Fri-Sun
Any information you would like to provide to support your application?
Submit Form
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