STURMINSTER AND HINTON ANGLING ASSOCIATION
www.s-haa.co.uk
NEW MEMBERS 2013/14

I wish to become a member of Sturminster & Hinton Angling Association and will abide by the Association Rules as laid down in the Member's Handbook. Membership is subject to committee approval.
I do not object to my name and other details being held on an electronic, or other, database for the purpose of Association administration.



MR/MRS/MISS/MS
FIRST NAME

SURNAME

ADDRESS




Post Code

E-mail address

Signed


FEES:
ANNUAL SUBSCRIPTION
ADULT £40.00 CONCESSION ( Over 65 ) £25.00 Junior (under 16) £6.00

Joint Membership (husband ,wife or partner) one pays full subscription and the other pays half.

JOINT MEMBER'S FULL NAME

AVAILABLE FROM MEMBERSHIP SECRETARY
I would like a Lodden Lakes licence at £12.00 per Adult / £7.00 Junior

For a Lodden Lakes Night licence add another £20.00 to your Day licence fee.

Please enclose cheque/P.O. made payable to Sturminster & Hinton Angling Association

Amount Enclosed £

IF APPLYING BY POST:

TO RECEIVE YOUR ASSOCIATION MEMBERSHIP PERMIT

PLEASE ENCLOSE A STAMPED ADDRESSED ENVELOPE and return this form and fees to the Membership Secretary at address below.

K & T Goddard,
11 Friars Moor,
Sturminster Newton,
Dorset
DT10 1BH

01258 472069
keith508@btinternet.com



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