Complete this form by hand and post it to the Hon. Secretary, or join online at citymusicsociety.org.

Membership Application

City Music Society — registered charity No. 285985

1. Your details

Title and full name

 

Address line 1

 

Address line 2

 

Town or city

 

County / state

 

Postcode

 

Country

 

Email address

 

Telephone

 

2. Membership chosen

  • Ordinary Member — £15 per year
  • Joint Members — £20 per year
  • Friend — from £25 per year
  • Patron — from £100 per year
  • Benefactor — from £250 per year
  • Life Member — £500 (one-off)

Amount enclosed / to be paid (£)

 

Second member's name (Joint membership only)

 

Second member's email (Joint membership, optional)

 

3. How you would like to pay

  • Standing order — a pre-filled form is provided if required in this application (see page 2).
  • Cheque enclosed, made payable to City Music Society.
  • I would prefer to pay by card online — please email me a link.

Society bank details for standing orders: City Music Society, CAF Bank, sort code 40-52-40, account number 00034538. Subscriptions are payable annually on 2nd January of each year.

4. Gift Aid declaration (UK taxpayers)

I want City Music Society to treat this subscription, and all subscriptions and donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations.

I confirm I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations, it is my responsibility to pay any difference. Please notify the Society if you change your name or home address, or no longer pay sufficient tax.

Signed

 

Date

 

5. Data protection

Your details are used only to administer your membership, to send you the Society's three newsletters a year and concert information, and to claim Gift Aid where applicable. They are never sold or shared for marketing. You may ask to see, correct or erase your data at any time. Full privacy notice: citymusicsociety.org/privacy.

I have read the privacy notice and agree to my details being held for membership administration.

Signed

 

Date

 

Please return this form to the Hon. Secretary, City Music Society, 16 Chase Court Gardens, Enfield, EN2 8DH. If you have any questions, use the contact form at citymusicsociety.org/contact.

Standing Order Instruction

City Music Society membership subscription — registered charity No. 285985

This page only needs to be completed if you are setting up your standing order in person at your bank or by post. If you set the payment up yourself through online or mobile banking, simply use the Society's details below and there is no need to complete or return this page. Please send this instruction to your own bank or building society — not to City Music Society.

To the Manager

Name of your bank or building society

 

Branch

 

Branch address

 

Postcode

 

Your account details

Account name

 

Account number

 

Sort code

 

Your address

 

Please pay

Beneficiary
City Music Society
Bank
CAF Bank
Sort code
40-52-40
Account number
00034538
Frequency
Annually on 2nd January of each year
Date of first payment
Immediately on receipt of this standing order

Reference (your name and postcode)

 

Amount (£)

 

Amount in words

 

Until

 

Membership type

 

Signature

Signed

 

Date

 

Please cancel any previous standing order in favour of City Music Society.