STURMINSTER AND HINTON ANGLING ASSOCIATION

www.s-haa.co.uk

MEMBERSHIP RENEWAL 2010/2011

I wish to renew my membership of Sturminster & Hinton Angling Association from the 16^th June 2008 and will abide by the Association Rules as laid down in the Members Handbook. 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   ………………………………………. E-Mail ...........................................................

MR/MRS/MISS/MS

FIRST NAME ……………………………………………………………………

SURNAME ……………………………………………………………………….

ADDRESS …………………………………………………………………………

               …………………………………………………………………………

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POST CODE   …………………..           Telephone No.    …………………

FEES

ANNUAL SUBSCRIPTION    ADULT:  £35.00   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 ………………………………………….......................................................

I also would like a Lodden Lakes licence at £10.00 Adult/ £6.00 Junior                   

I also would like a Lodden Lakes night licence at £20.00 Per person   

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

 Amount Enclosed  £……………

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TO RECEIVE YOUR ASSOCIATION MEMBERSHIP PERMIT :-

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

Mr Richard Brown, Squirrel Bank, Upland Close,  Broad Oak, Sturminster Newton, Dorset DT10 2HL                                                 

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