HADLEY ANGLING & PRESERVATION SOCIETY Membership Secretary: Mr R Mitchell Hadley APS PO Box 1233 Enfield EN1 9TS Email: membership@haps.org.uk Established since 1982 MEMBERSHIP APPLICATION & RENEWAL FORM Memberships by correspondence only MEMBERSHIP RUNS FROM 1st April 2013 - 31st March 2014 New applicants must send a passport size photo Application Date NEW MEMBERS PLEASE TICK BOX £50 Senior with key Under 16 years old on 1st April 2013 D.O.B £27 Junior £30 O.A.P'S/Disabled with key. Concessionary rod licence No. £85 Family Ticket (Maximum 2 Adults 2 Children please complete a separate form for each person) ***You must prove you are entitled to a concessionary fee, please supply copy of concessionary rod licence*** MEMBERSHIP RENEWAL Membership number PLEASE TICK BOX Senior £40 Junior £22 O.A.P'S/Disabled £20 Concessionary rod licence No. Family Ticket £85 ***You must prove you are entitled to a concessionary fee, please supply copy of concessionary rod licence*** EXISTING MEMBERSHIP PHOTOCARDS MUST BE RETAINED AND PRODUCED WITH CURRENT SEASON FISHERY CARD Mr First Name: Address: Mrs Postcode: Home Phone Number: Miss Surname: Ms Email: Mobile: Cheques and Postal Orders should be made payable to H.A.P.S. A STAMPED ADDRESSED ENVELOPE IS REQUIRED SO YOUR MEMBERSHIP AND / OR FISHERY CARD CAN BE RETURNED TO YOU. NO STAMPED ADDRESSED ENVELOPE, NO MEMBERSHIP Please allow 21 days for return of membership card.