Application for membership of the
National Coarse Fishing Federation of Ireland

Club Name:

1. Club Contact Details: (Chairperson, Secretary, Treasurer, etc. Please give as much details as possible.)

2. Details of Club Members:
Senior Members (number of)
Junior Members (number of)
Lady Members (number of)
Disabled Members (number of)

3. Details of Club Waters: (Please give details of all club waters used)

4. Membership of other organisations: (Please state if your club has membership of any other organisations)

I ..................................................... being the ............................................. of the above mentioned Club, hereby apply on behalf of the club for membership of the National Coarse Fishing Federation of Ireland

Completed form should be sent to:
Mr. David Egan,
National Coarse Fishing Federation of Ireland,
264 Castletown,
Leixlip,
Co. Kildare.

Ireland
Email:
Please Note that;
Completed application forms have to go through committee approval before affiliation is ratified