Leeds and District ASA

Individual Membership Application Form (2024)

Applicant Information

Applicant Details	Date:
Name:
Address:
Postcode:
Phone:
E-mail:
Date of Birth:

Type of Membership

Please choose the type of membership required (select one box only)

Adult Male/Female	£70
Senior Citizen	£40
Disabled	£40
Intermediate (16 to 18 Yrs)	£40
Juveniles (Under 16)	FREE

Signature(s)

I apply to join Leeds and District Amalgamated Society of Anglers, and agree that I will abide by the rules and regulations as set down by the society.

Signed ___________________________ Signed ___________________________

(Applicant) (Parent or Guardian if applicant under 18)

What to do next

Please send the completed form and a cheque for the correct amount. Please make cheque payable to Leeds and District Amalgamated Society of Anglers and send to:

Leeds and District Amalgamated Society of Anglers

Membership Office

The Anglers Club

75 Stoney Rock Lane
Beckett Street

Leeds LS9 7TB