Untitled Document

Lightwater Angling Society

APPLICATION FORM FOR NEW MEMBERSHIP

Please fill in the following details in BLOCK CAPITALS one for each applicant

Due to a change in Society rules you must supply a photocopy of your current valid rod licence so that we can process your membership

PLEASE INCLUDE 1 PASSPORT SIZE PHOTOGRAPH WITH YOUR APPLICATION

Christian Name.........................................................	Surname.............................................................

Membership Requirement (tick box as required)
	Senior	£25.00	(inc Canal Permit)

	Junior	£14.00	(inc Canal Permit)

New Member Senior Citizen (payable first year only)	Senior Citizen	£10.00
£6.00 per year from 2nd year onwards

Basingstoke Canal Permit Senior Citizensonly		£4.00

Date of Birth Junior Members only	................................

Due to a change in Society rules you must supply a photocopy of your current valid rod licence so that we can process your membership

PLEASE INCLUDE 1 PASSPORT SIZE PHOTOGRAPH WITH YOUR APPLICATION

AND A CHEQUE MADE PAYABLE TO LIGHT WATER ANGLING SOCIETY

POSTAL APPLICATIONS ONLY

Chris Watts 4 New Dawn Close, Southwood, Farnborough, Hants, GU14 0PD 01252 680230

return home		links