Stoke On Trent Angling Society: SOTAS Application Form 2012

SOTAS Application Form 2012
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Julian on 26 March, 2008 04:11:00
 
SOTAS Application Form 2012
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)
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 2012 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
2012.
Society waters: Stanley Reservoir, Rudyard Reservoir, R Sow Great Bridgeford, R
Dove Fauld and Scropton, Knypersley Reservoir, Astbury Water Park.Bolesworth
Castle (Closed) .Brooklyn Grange Fishery .RookeryPool.  North Road Pool.  Fly
Fishing at Blithfield Reservoir booked in advance details in membership card.
Official Use Only
Accepted / Rejected. Date ___ / ___ / ___ Signature............................
Membership Offer letter sent ___ / ___ / ____ Ticket Number issued
12/________________