| | 
Season 1 April 2013 to 31 March 2014
Tick boxes below to
confirm your
requirements - one
form per person please | Adult
Members
(17 to 64 yrs inc as at 1/4/2013) | Juniors (Under
12 yrs as at
1 April 2013)
No charge | Senior Citizens
(65 yrs and over as
at 1 April 2013) | Disabled
Persons
(registered) [Note 1] | Annual Subscription
| £40
| £15
(12-16 years inclusive) | £30
| £30
| | Joining Fee (new members only) | £5 | £0 | £5 | £5 | 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 2]
(Junior) |
£44
£38 |
£31 |
£31 |
£31 | Bough Beech
Reservoir
(Nominal Charge - no concessions) | £15
| £15
| £15
| £15
| Basingstoke Canal Anglers' Association
(Free of charge. Please tick if you require a ticket for this fishery) | | | | | | Donations to club funds (will be gratefully received) | £ | £ | £ | £ | | 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. David Adby, 4 Park Road, Limpsfield, Oxted Surrey. RH8 0AL. Tel. No. 01883 712299 (One application per form please). No personal callers please.
Please submit your application with a (C5 - 9" x 6.5") correctly stamped and addressed envelope for not exceeding 100 in weight
NAME IN FULL………………………………………………………………………………
ADDRESS……………………………………………………………………………………..
…………………………………………………………………………………………………..
TELPEPHONE No:………………………………. DATE OF BIRTH: ………………….
email address …………………………………………………………………………………………………...
| Note 1 | 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 2 | CALPAC have an Intermediate level of membership for 16 and 17 year olds. |
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