Leazes Park Angling Association
Membership Application 2012

Name…………………………………………. Tel No…………………………………….
Address……………………………………...
…………………………………………………. E-Mail.........................................................
………………………………………………….
Post code…………………………………… Vehicle Reg…………………………….
D-O-B. ……………………………………

In line with current E.A.policy on Concessionary Disabled Rod Licences, a photocopy of the Blue Badge will be accepted for
Members applying for the concessionary category membership. However those disabled members who do not qualify for the
Blue Badge need only supply a photocopy of their Concessionary E.A.Rod Licence when applying for membership.

Membership Fees. Seniors- £35.00 + £5-00. Joining Fee.
Juniors- £17.50 + £2.50. Joining Fee.
conc- £25.00 + £5.00. Joining Fee.
O.A.P- £17-50 + £2-50. Joining Fee.
Juniors- £17.50 + £2.50. Joining Fee.
Under 12’s- free of charge -(still must apply to receive membership)

3rd rod allowance £15.00 (Please include with membership renewal)

When completed the application form should be sent together with your cheque or postal order, made out to, Leazes Park Angling Association, with a Stamped Addressed Envelope, all applications will be done ASAP,but please allow 21 days.
NEW MEMBERS: please supply 1 passport sized photo
Please send your completed form to,

Leazes Park Angling Association

12 chapel house rd
Newcastle upon tyne

NE5 5AJ