SOTAS Application Form 2010
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Julian
PLEASE PRINT OFF, COMPLETE, AND RETURN TO THE ADDRESS AS INDICATED BELOW Name in full _______________________________
Address __________________________________________________________________________
Postcode ________________
Date of Birth ___ / ____ / ____
Occupation ____________________________
Are you a member of any other Angling Clubs?; YES / NO * (If YES please give name of the other clubs, use separate sheet if necessary)
Have you ever been expelled, suspended or refused membership of any Angling Club? YES / NO * (If YES please give details, use separate sheet if necessary)
Please tick any of the following which apply to yourself:
I regularly fish through the night __ I occasionally fish through the night __
I regularly fish for specimen Carp __ I regularly fish for specimen Pike __
I regularly fish for specimen Bream __ I regularly fish for specimen Tench __
I regularly fish for specimen Barbel __ I regularly fish for specimen Chub __
I am happy to catch fish of any size or species __
I shall be able to access the Society’s web-site sotangling.co.uk __
I am likely to fish the Society’s matches ___
Which membership do you require? SENIOR CITIZEN/SENIOR/LADY/DISABLED/ JUVENILE Please delete as applicable.(Evidence of your entitlement to Disability Living Allowance at the Higher Rate for mobility reasons must accompany applications for membership as a DISABLED angler).
I agree to abide by the rules of the Stoke on Trent Angling Society and confirm that the above details are correct.Signature......................................................... Date ___ / ___ / ___
Applications to be sent to; Mr Mick Hann , 34 Kenley Avenue, Endon, Stoke-on-Trent, ST9 9HX; please enclose a stamped addressed envelope . Do not send any money with this application.
Under no circumstances will a telephoned application be accepted. Please note that the 2010 subscriptions are SENIOR £55; LADY / SENIOR CITIZEN / DISABLED £30;JUVENILE age 12&13 £5 or age 14&15 £10. There are no entrance fees in 2010.
Society waters: Stanley Reservoir, Rudyard Reservoir, R Sow Great Bridgeford, R Dove Fauld and Scropton, Eleven pools Ellenhall, Knypersley Reservoir, Astbury Water Park.Bolesworth Castle Lake will be available until 31 March 2010.(Fly Fishing Blithfield Reservoir booked in advance details in membership card ).
Official Use Only
Accepted / Rejected. Date ___ / ___ / ___ Signature............................
Membership Offer letter sent ___ / ___ / ____ Ticket Number issued 10/________________
Issue Web 11/11/09
Address __________________________________________________________________________
Postcode ________________
Date of Birth ___ / ____ / ____
Occupation ____________________________
Are you a member of any other Angling Clubs?; YES / NO * (If YES please give name of the other clubs, use separate sheet if necessary)
Have you ever been expelled, suspended or refused membership of any Angling Club? YES / NO * (If YES please give details, use separate sheet if necessary)
Please tick any of the following which apply to yourself:
I regularly fish through the night __ I occasionally fish through the night __
I regularly fish for specimen Carp __ I regularly fish for specimen Pike __
I regularly fish for specimen Bream __ I regularly fish for specimen Tench __
I regularly fish for specimen Barbel __ I regularly fish for specimen Chub __
I am happy to catch fish of any size or species __
I shall be able to access the Society’s web-site sotangling.co.uk __
I am likely to fish the Society’s matches ___
Which membership do you require? SENIOR CITIZEN/SENIOR/LADY/DISABLED/ JUVENILE Please delete as applicable.(Evidence of your entitlement to Disability Living Allowance at the Higher Rate for mobility reasons must accompany applications for membership as a DISABLED angler).
I agree to abide by the rules of the Stoke on Trent Angling Society and confirm that the above details are correct.Signature......................................................... Date ___ / ___ / ___
Applications to be sent to; Mr Mick Hann , 34 Kenley Avenue, Endon, Stoke-on-Trent, ST9 9HX; please enclose a stamped addressed envelope . Do not send any money with this application.
Under no circumstances will a telephoned application be accepted. Please note that the 2010 subscriptions are SENIOR £55; LADY / SENIOR CITIZEN / DISABLED £30;JUVENILE age 12&13 £5 or age 14&15 £10. There are no entrance fees in 2010.
Society waters: Stanley Reservoir, Rudyard Reservoir, R Sow Great Bridgeford, R Dove Fauld and Scropton, Eleven pools Ellenhall, Knypersley Reservoir, Astbury Water Park.Bolesworth Castle Lake will be available until 31 March 2010.(Fly Fishing Blithfield Reservoir booked in advance details in membership card ).
Official Use Only
Accepted / Rejected. Date ___ / ___ / ___ Signature............................
Membership Offer letter sent ___ / ___ / ____ Ticket Number issued 10/________________
Issue Web 11/11/09
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