WCA MEMBERSHIP FORM
FOR USE BY THOSE LIVING IN WALES

Residents of N.Ireland, Scotland & England should apply to CANI, SCA & ECA respectively

Please print this form, complete it and send it with your membership fee to:
Welsh Canoeing Association, Canolfan Tryweryn, Frongoch, Bala Gwynedd LL23 7NU

I/We agree to be bound by the Rules of the Welsh Canoeing Association, accepting liability of £1 in the unlikely event of the Association's liquidation.

Date …………………………… Signed …………………………………

 

You may pay by Mastercard, Visa or Switch, or by cheque to WCA. If paying by credit or debit card, please enter details below, or telephone .

Type of card: Mastercard / Visa / Switch *

__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiry date ______

For Switch cards: Issue No: ____ (or valid from date if applicable ______)

Please supply the cardholder's name and card statement address if different from membership details:

……………………………………………………………………………………

……………………………………………………………………………………

*delete as applicable

Welsh Canoeing Association, Canolfan Tryweryn, Frongoch, Bala Gwynedd LL23 7NU

This information is kept on computer for the purposes as registered under the Data Protection Act.

Please print this form, complete it and send it with your membership fee to:
Welsh Canoeing Association, Canolfan Tryweryn, Frongoch, Bala Gwynedd LL23 7NU