Please print one form and complete for each ticket required.  
FULL YEARS MEMBERSHIP FORM ONLY                         (1st APR.2008 EXPIRES 31st Mar 2009)

RETURN TO
PRIOR PAGE
Name (in full) (Mr/Mrs/Miss/Ms)  
Full Postal Address  
   
 
Telephone Number  
Pension Book No. 
 (if applicable)		  
Reg. Disabled No. 
 (if applicable)  		  
Date of Birth (If under 16 before 1st April of current year)  
IF AN ADDITIONAL COMPANION TICKET IS REQUIRED ------------ NON - FISHING ------------
Name of Nominee  
Address  
   
 
Remittance by way of postal orders ensures a quick return of your permit.  
Remittance by way of cheque - please allow 14 working days for delivery.
I/We wish to be registered as an Associate Member of the London Anglers Association. I/We agree to abide by the Rules and Regulations laid out and understand that any infringement of these may result in the cancellation of my/our membership.
SENIOR  £ 42.00        PARTNERS    £ 64.00        
JUNIOR £  24.00        COMPANION £   6.00        
O.A.P  £  25.00         LAA. KEY £   2.00         
REG. DISABLED  £  25.00        LAPEL BADGE £   2.00         
For those Members wishing to use a Third Rod the Cost is Half the Original Ticket Price
(Remember you will also need to be in possession of TWO EA Licences)		    

GROUP NIGHT FISHING PERMIT - HEMMINGFORD GREY, LITTLEPORT, RIVER WISSEY ONLY 
ONLY AVAILABLE TO THOSE PURCHASING ANY OF THE
ABOVE-MENTIONED TICKETS (EXCLUDING COMPANION TICKETS)  

 £25.00
(PER MEMBER)

  

SEASONAL GAME PERMIT - BRITFORD FISHERY, RIVER AVON   == ONLY AVAILABLE
TO THOSE PURCHASING ANY OF THE ABOVE-MENTIONED TICKETS (EXCLUDING COMPANION TICKETS)  REMINDER: An E.A. Migratory Fish Licence is also required.

£30.00
(PER MEMBER)

  

PLEASE TICK BOXES OF TICKET/ITEMS REQUIRED


SIGNED .................................................................................................................

SIGNED..................................................................................PARENT/GUARDIAN

DATE ..........................
REG. NO..................................
                (OFFICE USE ONLY)
Please send to:
  
The London Anglers Association
Izaak Walton House,
2a Hervey Park Road
London
E17 6LJ
Tel/Fax 020-8520-7477