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Season 1 May 2009 to 14 March 2010
Tick boxes below to confirm your requirements - one form per person please | Adult Members (17 to 64 yrs inc) | Juniors (Under 12 yrs as at 1 April 2009) No charge | Senior Citizens (65 yrs and over as at 1 April 2009 | Disabled Persons
(registered) [Note 2] | Annual Subscription [Note 1] | £45
| £17 (12-16 years inclusive) | £25
| £22
| | Joining Fee (once only) | £15 | £0 | £10 | £10 | Companion Membership (non fishing) Enter name here
----------------------------- | £ 5 | £5 (Juniors must be accompanied by an Adult at all times) | £5 | £5 | CALPAC Membership (20+ extra waters) (Adult) (Intermediate) [Note 3] (Junior) |
£38 £32 |
£26 |
£26 |
£26 | Bough Beech Reservoir (optional - no concessions) | £15
| £15
| £15
| £15
| Donations to Funds (optional) | £ | £ | £ | £ | | Total | £ | £ | £ | £ |
Please tick your requirements and forward a total for the whole amount (cheques/postal orders being made payable to Warlingham & District Anglers’ Society) to Mr. Jason Courtney, 16 Dunnymans Road, Banstead, Surrey. SM7 2AN. Tel. No. 01737 360348 (Only one renewal/application per form). No personal callers please.
Please submit your application with a (C5 - 9" x 6.5") correctly stamped and addressed envelope
NAME IN FULL………………………………………………………………………………
ADDRESS……………………………………………………………………………………..
…………………………………………………………………………………………………..
TELPEPHONE No:………………………………. DATE OF BIRTH: ………………….
ANY PROFESSIONAL SKILLS YOU CAN OFFER THE SOCIETY?
…………………………………………………………………………………………………...
| Note 1 | Subscriptions:- Half-price subscriptions applies to any new member joining for the first time between 1 November 2009 and 14 March 2010. | | Note 2 | You must provide proof of entitlement by producing any of the following: Current allowance/Pension book/Giro Payment Slip showing the proposed licensee is in receipt of either: - Severe Disablement Allowance, Invalidity Benefit, Long-term or Short-term higher rate Incapacity Benefit, War Pension including Unemployable Supplement or a letter from the War Pensions Directorate, Blackpool confirming eligibility. | | Note 3 | CALPAC have an Intermediate level of membership for 16 and 17 year olds. |
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