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) |
