Application for Membership Form for the Waterval Boven Trout Association in Mpumalanga, South Africa

Please complete the form and click on the submit button below.

I hereby apply for membership of the Waterval Boven Trout Association. I agree to be bound by the constitution and bye laws of the Association and accept that angling for trout is restricted to the use of artificial (non-spinning) flies, floating or sinking lines.

Type of Membership:
Are you or have you been a member of another fishing club?	Yes No
Your E-mail:	(Please complete for confirmation)
Surname:
First Names:
Phone Code:
Phone Number:
Fax Number:
Cell Number:
Postal address: Postal Code:
Country:
Additional Member Names and date of birth (Junior members only) :
Proposer:	The applicant is a fully equipped fly fisherman and has been known by me for years.
Name:
Tel:
E-mail:
Seconder:	The applicant is a fully equipped fly fisherman and has been known by me for years.
Name:
Tel:
E-mail:

Enquiry:
Indemnity: I am aware that neither the Waterval Boven Trout Association (WBTA), nor any of its members, nor the landowners of the fishing areas, accept any responsibility for death, injury, damage to, or loss of property, suffered by me , or any member of my immediate family, or any of my guests, which may be sustained or caused in any manner whatsoever, whether negligently or not, while using the facilities of the WBTA, and or any area covered by the fishing rights held by the WBTA. I hereby, indemnify, and hold, the WBTA, and or its members, and the landowners of the fishing areas harmless against any claim made against WBTA, and or its members, and or the landowners of the fishing areas for any such death, injury, damage to or loss of property.
	You can also download the Appliction for Membership form here

Club Fees	Admin Fee	Annual subs 1 July 2008-28 February 2009
Male/Female/Country	R100.00	R300.00
Junior (under 16 years)	R50.00	R150.00

	Membership: the Admin fee is only waived with new membership
	Fees payable to WBTA: First National Bank, Waterval Boven, Account number 542 200 215 94, Branch Code 270551.
	Fax a copy of the deposit slip to (086) 503 7336. (In the case of junior members a signed copy of a letter of permission to join the WBTA by the parent or guardian of the junior member must accompany the deposit slip).
	If membership is refused no reasons will be given.


For more information contact:
Info: Chris de Beer E-mail: info@wbta.co.za Marketing & Secretary: Jenni Lord Cell: + 27 (0)82 444-4905		Membership: Marietjie Davies Tel: + 27 (0)11 393-3521 E-mail: members@wbta.co.za *Water Bailiff: Hendrik*
P O Box 333, Waterval Boven, 1195