EXMOUTH SAA: 2012

New Member Application Form and/or Membership Renewal Form 2012

NAME……………………………………………………………………………………………...

ADDRESS……………………………………………………………………….  Post Code.  ..……

TEL. No.  ……………………………………MOBILE No.  …………………………………..

E-MAIL ADDRESS ……………………………………………………………………………….

I wish to apply for membership of the above Association and promise to comply with all the Rules and Regulations, (a copy of which is displayed in the clubhouse)

Please tick membership requirement

SENIOR ANNUAL RENEWAL FEE:           £ 15.00
NEW SENIOR MEMBER FIRST YEAR, ONLY: £ 10.00

OAPs and REGISTERD DISABLED ANNUAL RENEWAL FEE:           £ 7.50

NEW OAP/REGISTERD DISABLED MEMBER FIRST YEAR, ONLY: £ 5.00

JUNIOR ANNUAL RENEWAL FEE:           £ 2.50
NEW JUNIORS FIRST YEAR, ONLY: £   2.50

(Please Note: if you are a new member joining after 1st September you need only pay half published price)

I Enclose the MEMBERSHIP FEE of: - TOTAL        £ ___________

On completion, this form together with the appropriate remittance should be sent to: -

E.S.A.A. Treasurer
Mark Hewett
13 Brixington Lane
Exmouth
EX8 4HW

(Please make cheques payable to Exmouth Sea Angling Association)

Junior members – Please state date of Birth: …………………………………………….

SIGNED………………………………………………….DATE………………………………

N.B: ALL JUNIORS MUST BE ACCOMPANIED BY THEIR PARENT/GUARDIAN AT ALL TIMES.

N.B: A MEMBER LAPSED FOR OVER A YEAR MAY REJOIN AS A NEW MEMBER.

N.B: YOUR ESAA MEMBERSHIP RUNS FROM 1st JANUARY TO 1ST JANUARY EACH YEAR.

THAT'S ME SIGNED UP, HOME PAGE PLEASE