OCKLEY ANGLING SOCIETY
		APPLICATION FOR NEW MEMBERSHIP - SEASON 2012/13
	PLEASE COMPLETE THE APPLICATION FORM IN FULL USING CAPITAL LETTERS
CHRISTIAN NAME   …………………...……………….……..				SURNAME  …………………….……………….…………………
ADDRESS ……………………………………………………………………………………..……………..……………………..		…………………...….……………..…………………………………………………………………
……………………………………………………………………………………………………………………………………
POSTCODE  ……………………………………….					PHONE #   ………….………………..…………………
DATE OF BIRTH		………………….
I DECLARE THAT THE INFORMATION IS TRUE,SHOULD MY APPLICATION TO JOIN THE OCKLEY ANGLING
SOCIETY BE ACCEPTED. I AGREE TO ABIDE BY THEIR RULES AND REGULATIONS.
SIGNATURE						DATE
PLEASE TICK APPROPRIATE BOXES:
NEW MEMBER JOINING FEE (SENIOR)							£30.00
NEW MEMBER JOINING FEE (OAP/JUNIOR(over 12)/DISABLED/STUDENT)							£15.00
	NEW MEMBER TOTAL DUE = JOINING FEE + SUBSCRIPTION
SENIOR SUBSCRIPTIONS (AGED 16 AND OVER)							£50.00
STUDENT IN FULL TIME EDUCATION AGED 16-21							£25.00
OAP OR DISABLED SUBSCRIPTIONS							£25.00
JUNIOR SUBSCRICPTIONS  12-16yrs							£20.00
JUNIOR SUBSCRICPTIONS (under 12)							£5.00
PLEASE FORWARD THE COMPLETED APPLICATION FORM,TOGETHER WITH YOUR CHEQUE,MADE PAYABLE
TO "OCKLEY ANGLING SOCIETY", FOR THE JOINING FEE AND ANNUAL SUBSCRIPTIONS, PLUS 2 PASSPORT
PHOTOGRAPHS AND COPY OF STUDENT CARD IF APP  WITH A STAMPED ADDRESSED ENVELOPE TO:
OAS MEMBERSHIP SECRETARY,  3 HYPERION WALK. HORLEY. SURREY RH6 7DA
MEMBERSHIP PROPOSED					MEMBERSHIP #
BY :
SECONDED BY:					MEMBERSHIP #
TO BE COMPLETED BY EITHER PARENT/GUARDIAN IN RESPECT OF JUNIOR APPLICANTS
FULL NAME   ……………………………………………………………………………………………………
RELATIONSHIP TO APPLICANT:
I AGREE TO MY SON/DAUGHTER BECOMING A MEMBER OF THE OCKLEY ANGLING SOCIETY AND
UNDERSTAND THAT NO YOUNG PERSON UNDER THE AGE OF 12 IS ALLOWED TO FISH ON ANY OF
THE CLUBS WATERS UNLESS ACCOMPANIED BY AN ADULT