HOLIDAY PERMIT APPLICATION FORM

Name………………………………………………………………..

Address……………………………………………………………..

…………………………………………………………………….…

…………………………………………………………………….…

Post Code…………………………………..

Tel No…………..………………………….

Please fill in ALL information

 

Qualifying Rules

  • Applicants MUST live further than 50 miles from Northwich.
  • 14 Days notice is required (for processing purposes)

 

Type of Permit Required

 

TYPE

COST

TICK

One Week Holiday Permit £14.00  
Two Week Holiday Permit £20.00  
Full Colour Deluxe Map Book £2.50  
Car Park Security Key £3.00  

 

Please print this page and complete the above form in BLOCK CAPITALS and send it,
along with your remittance and 9" x 6" stamped addressed envelope to: -

 

Northwich Anglers Association
P O Box 18
Northwich
Cheshire
CW9 5SE

NOTES: -

  • Please do NOT send cash in the post.
  • Cheques made payable to: - Northwich Anglers Association.