HOLLOW ANGLING SOCIETY.

   ALL  SECTIONS. . . . . . . . MUST BE COMPLETED IN PRINT

Print clearly or you may not get deliveries. We do not accept poorly completed forms

Surname   . . . . . . . . . . . . . . . . . . . . . . .First name . . . . . . . . . . . . . . . . Title . . . . . . .     

Address . . . . . . . . . . . . . . . . . . . . . . . . .              Phone .[landline] . . . . . . . . . . . . . . . . . . .

Town  . . . . . . . . . . . . . . . . . . . . . . . . . . . . .          Phone [mobile] . . . . . . . . . . . . . . . . . . . . .

County . . . . . . . . . . . . . . . . . . . . . . . . . . . .          Date . . . . . . . . . . . . . . . . . . . .

P.code . . . . . . . . . . . . . . . . .                                Last years’ membership No . . . . . . . . . . .                                                                                                                                                                               

   E-Mail  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  . .MAKE CLEAR

Ensure E mail is clear as society communications, updates and magazines are only issued  via E mails  

SUBSCRIPTION  RATES

1]      Adult                                                            £ 56-00  .  .  .  .  .  .  £. . . . . . . . . . . . .

2]      Concessionary#     [see below]          #       £ 44-00.  .  .  .  .  . .  £. . . . . . . . . . . . .   #

3]      O.A.P.                #     [see below]          #      £ 44-00  .  .  .  .  .  .  £. . . . . . . . . . . . .   #

4]      Junior                 #     [see below]          #       £ 10-00  .  .  .  .  .  .  £. . . . . . . . . . . . .   #     

Passingford guest ticket book [ 3 tickets]        £ 10-00   .  .  .  .  .  .  £ . . . . . . . . . . . .

                                                      TOTAL ENCLOSED                    £. . . . . . . . . . . . .

I agree to abide by the rules of the Society and accept membership may be terminated for contravention 

 Signed . . . . . . . . . . . . . . . . . . . . . . . . . . .  ( for Juniors this must be Parent or Guardian)

We keep a record of knowledge, skills, equipment, etc. of our members that may help the Society and/or members

Job / Profession  [or Ex]. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Hobbies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..

Special skills, knowledge equipment or machinery that might be useful for fishery maintenance you may have

  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .  .. . . . . . . . . . . . . . . . . . . . . . . . . . . .

RETURN FORM TO:-                                    TO BE ENCLOSED

Mr. T.  BARTON                              a]  Cheque made payable to Hollow Angling Society

8, The Oaks,                                   b]  This fully completed application form

Woodbine close,                              c]   Two passport photos or old membership card

Waltham Abbey,                    #        d]  Proof for categories 2. 3. 4 as below                      #

Essex EN9 3RP

#   Proof of qualification for categories 2,  3 or 4 must be supplied on all new applications photocopy of

2]                  Poof of receipt of Long term disability allowance  [ not blue badge ]

3]                  Retirement notification from Dept of Social Security

4]                  Junior E.A. licence {12-16 years old incl.

OFFICE USE        H.A.S. No.     T.A.C. No.       F.G No.      E.A.C.No.     WAAC No.  Accepted/Refused             Date                                                                                                                          Reason code

WEB

Queries -   membership@hollowanglingsociety.co.uk – tel -  01992701428 -  0208 505 3215  -  07989817316