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If you wish to join our club, print out the Form, cut it out and

send it with appropriate membership fee to the address below.


Annual Membership fees are as follows:


Junior: € 5.00


Senior: € 10.00


Family: € 20.00


OAP's membership is free. If you are an OAP please tell us by sending

a letter with your application. This is how you avail of Free

Membership.


All anglers, novice or expert are most welcome.


Payment can be made by cash, post order or cheque made payable to

Leixlip Angling Development Society


Cut out application and send it with fee to:

Leixlip Angling Development Society

264 Castletown

Leixlip

Co. Kildare

Ireland


If you have a query please contact us at daveegan@iol.ie


Please note: If you supply us with intentionally False or Misleading

Information in your application, your membership will be terminated.



The Leixlip Angling Development Society reserves the right to

  refuse any application.



© Leixlip Angling Development Society

Membership

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Pavilion Membership

Application

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CLUB USE ONLY

Category A : Senior  (person over the age of 18)

Category B : Junior   (person over the age of 9 and under 18)

Category C : Family  (to include both parents and two juniors under 18)

A  SENIOR

JUNIOR

Name ………………………………


Address …………………………….


………………………………………..


Tel / E-mail …………………………..

Name ………………………………..


Address ……………………………


……………………………………….


Tel / E-mail ………………………….

Note: Only fill out this section if application is type C (Family)

Name ……………………………….


Address ………………………………


………………………………………..


Tel / E-mail…………………………

Name ………………………………..


Address ……………………………..


………………………………………


Tel / E-mail………………………….

C SECOND SENIOR

C SECOND JUNIOR

& Cut along this line &

Signature ____________________         Date _____________________