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 for 2024

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

Please complete the mobile phone field for either UK or ROI and ensure you complete the email field with a working email as these WILL be used for correspondence.

First Name:

Surname:

Home Tel:

Date of birth: (DD/MM/YEAR)

Personal Email:

UK Mobile Number: (0044)

ROI Mobile Number: (00353)

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 - Email:

Next Of Kin UK Mobile Number: (0044)

Next Of Kin ROI Mobile Number: (00353)

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