ACCESS APPLICATION FORM OWNER AND/OR TENANT DETAILS Stand Number Address Name of Owner Name of Tenant (If Applicable) Telephone Number Email Golf Club Member Number (If Applicable) Preferred Angling Method Fly FishingDeep SeaBait FishingSpecies Specific MEMBER DETAILS Member 1 Name Member 1 Age Member 2 Name Member 2 Age Member 3 Name Member 3 Age Member 4 Name Member 4 Age Member 5 Name Member 5 Age REGISTRATION DETAILS Adult: R300 Child: R200 (16 years & younger) Family Package: R750 (2 adults, 2 children) BANK DETAILS: SILVER LAKES HOA Nedbank Brooklyn Account Number: 163 104 8759 Branch Number: 163 145 Reference: Fishing and your Surname We are committed to protecting your privacy ensuring that your Personal Information is collected and used properly, lawfully, and openly for the following purpose: Fishing Club Application Form We confirm that your Personal Information collected will be used and disposed of as is required by the Protection of Personal Information Act No. 4 of 2013 (POPI Act). [wp_e_signature_sad doc=”34″]
