CITY MUSIC SOCIETY
Application Form

        I wish to apply for membership of the CITY MUSIC SOCIETY as indicated below. (Tick one)

   
c  Ordinary Membership for one year (15)
   c  Joint Membership for one year (20)
   c  Friend of the City Music Society (minimum 25 per annum)
   c  Patron of the City Music Society (minimum 100 per annum)
   c  Benefactor of the City Music Society (minimum of 250 per annum)
   c  Life member (minimum of 500)  

   c
  I return the attached Standing Order form (below) in respect of payment of my subscription.
   c  I pay by Standing Order/cheque
[Please delete as appropriate] which I enclose herewith.

         GIFT AID:
   c  
I am a UK income tax payer and wish this and all future payments to the CITY MUSIC SOCIETY
         to be treated as Gift Aid:

         Signature:.
If you wish to join the City Music Society (Registered Charity No. 285985), print this page, complete the
application form and send it with your cheque or postal order and a stamped, self-addressed envelope to:

Leslie East
City Music Society
16 Chase Court Gardens
Enfield EN2 8DH

Mr/Mrs/Miss/Other  
Address  
 
 
Telephone  
Email  
Date  
(BLOCK CAPITALS PLEASE)


To subscribe by Standing Order,  please complete the form below:

Standing Order

To The Manager, 

Bank  
Branch Address  
 
Account No.   
Sort Code  
Date  
Please pay into the account of the City Music Society at HSBC, Sort code 40-05-21, Account numbe: 41519689
the sum of £(amount in words)__________________________________
upon receipt and then on 1st January annually thereafter until further notice.
Signed  
Name  
Address  
 
 
(BLOCK CAPITALS PLEASE) 

Please complete and send to Leslie East, City Music Society, 16 Chase Court Gardens, Enfield EN2 8DH.
Download a copy of this form in Microsoft Word format

 

Latest update: 31 July 2014
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