STURMINSTER AND HINTON ANGLING ASSOCIATION
www.s-haa.co.uk
NEW MEMBERS 2010/2011
I wish to become a member of Sturminster & Hinton Angling Association and will abide by the Association Rules as laid down in the Members 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.
Signed .
MR/MRS/MISS/MS
FIRST NAME .
SURNAME ..
ADDRESS
POST CODE .. Telephone No.
E-mail address .( For newsletters/renewals etc )
FEES
ANNUAL SUBSCRIPTION: ADULT £35.00 CONCESSION ( Over 65 ) £25.00 Junior (under 16) £6.00
Joint Membership (husband/ wife/partner) one pays full subscription and the other pays half.
JOINT MEMBERS FULL NAME ...................................................................
AVAILABLE FROM MEMBERSHIP SECRETARY
I
would like a Lodden Lakes licence at £10.00 Adult/ £6.00 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.
Mr Richard Brown.
Squirrel Bank
Upland Close
Broad Oak
Sturminster Newton
Dorset
DT10 2HL Tel: 01258 473178