Leazes Park Angling Association
Membership Application 2010

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 Disabled 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 £27-50 + £5-00. Joining Fee.
Juniors £17-50 + £2-50. Joining Fee.
Disabled £17-50 + £2-50. Joining Fee.
O.A.P £17-50 + £2-50. Joining Fee.
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
P.O. Box 272
Newcastle Upon Tyne
NE6 4WX