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Email: albrightonanglers@outlook.com

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Albrighton Anglers Membership Application Form

Membership Enquiries: Ken Lane 01902 654549 (6pm to 8pm)

Email: albrightonanglers@outlook.com

Please type or complete all fields in block capitals

Your name

Address

Phone

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Email Address

Date of Birth

Occupation

Memberships (ages at renewal date 1st March)	Annual Cost	Joining Fee	Total
Membership (18 years plus)	£ 120	£ 25	£ 145
Senior Membership Concession (Existing members who were 65 on or before 1/3/2011)	£ 80	£ 0	£ 80
Intermediate (16 – 18 years) Age verification required	£ 55	£ 25	£ 80
Juniors (under 16) Age verification required	£ 0	£ 0	£ 0
Night Syndicate (excluding Lilleshall Abbey) (Night syndicate is £20 on top of the normal membership fee. Anyone wanting to join night syndicate will be put onto a waiting list after being in the club for 1 year).	£ 20	£ 0	£ 20
River ONLY Membership	£ 25	£ 25	£ 50
Canal ONLY Membership	£ 10	£ 25	£ 35

Applications for junior members (under 18) must be completed above with the juniors’ details and signed by a Parent or Guardian. The club reserves the right to reject applications. Annual membership commences 1st March each year.

If I am successful in gaining entry to Albrighton Anglers, I agree to fully comply with all the club rules.

Your Name (Guardian's Name)

Signature

Once Completed do the following