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Application Form
20:54 05/05/2009
If you are interested in club membership, please complete the following form,
filling in all sections.
Please be aware only one person per form will be accepted.
Section 1
Title:
First Name:
Last Name:
Address :
Address :
Town/City:
Post Code:
Telephone:
Date of Birth:
Age on 1st June 2012:
E-mail address:
Persons under 16 years of age please note:
Extract from rules:
All persons under the age of 16 years, (i.e. a junior), must be accompanied by an adult who is also a member, and all such juniors must be members.
Section 2
Please indicate your choice of application required, only one box to be ticked per form.
Please note: All applications received with more than one box ticked will be rejected.
Membership
Joining
Total
Senior (16+)
£55
£10
£65
Junior (11 and under)
£15
£0
£15
Junior (12 to 15)
£20
£0
£20
OAP (65+)
£40
£10
£50
Concessionary
£40
£10
£50
Non-Angler
£5
£0
£5
Please Note:
OAP's must be over 65 years of age to qualify.
Concessionary's must provide proof they receive Disability Living Allowance upon acceptance of application.
Those people who wish to accompany a junior or other member but do do not wish to fish themselves should join as a non-angler.
Night permits are not included in the cost of membership but are available from the second year of membership
unless someone already in the club for over a year will vouch for you.