APPLICATION FORM

Please fill out the application form below .
Make sure you fill out all relevant information and sign to say you agree with and will conform to all NICAS rules ( see NICAS rules page for more info).

Please don’t send payment until your application has been approved

PRICES

Full membership

Aged 18 to 65 years

£350

Concession Membership

Seniors aged over 65 years Disabled Angler

£325

16 to 18 Membership

Aged 16 to 18 years
(Rules Apply)

£125

Non-Fishing Junior Membership

Under 16 years
(Rules Apply)

£25

Non-Fishing Partner Membership

For parnters of members

(Mill Lodge and Swanhole only)

£35

New Member Joining Fee

Additional payment for new members

£100

NICAS MEMBERSHIP APPLICATION 2022

IMPORTANT: Please make sure to fill in all sections with correct information before submitting!! Incorrect or missing information may void the application.

First Name

Surname

Home Tel:

Date of birth: (DD/MM/YEAR)

Mobile:

Personal Email

Current address including town/city, county & postcode:

Trade (Optional)

Junior Name: (Maximum 1 under 18 per adult application)

Junior Date of birth: (DD/MM/YEAR)

Please select which memberships you wish to apply for. Please select which memberships you wish to apply for. Adult (Over 18 years) Membership £350

. . Concession (65 years+ / Disabled) Membership £325

. . 16 years to 18 years Membership (Rules Apply) £125

. . Non fishing junior (under 16) Membership £25

. . Non-Fishing Partner (Mill Lodge and Swanhole only) Membership £35

. . New Member Joining Fee £100

Next Of Kin - First Name:

Next Of Kin - Surname:

Next Of Kin - Phone:

Next Of Kin - Email:

Next Of Kin - Relationship:

Next Of Kin - address including town/city, county & postcode:

Please tick the boxes below before submitting application. Please tick the boxes below before submitting application. I can confirm that I am a competent swimmer. I authorise the verification of the information provided on this form.

NICAS Secretary – 07818 418024

Under the Department of Agriculture, Enviroment and Rural Affairs Fisheries Act (Northern Ireland) 1966, All members must hold a valid Rod licence.

Available on-line by using button below.

ROD LICENCE ONLINE