Classical Music Society

Application for membership April 2009 to March 2010

I/we hereby apply for membership of the Society and agree to conform to the Constitution and Rules (available on request)

 

Mr/Mrs/Ms                                           Please print clearly

 

Name:

 

Type of Membership

Address:

 

required:

 

 

please tick

 

 

Individual

 

 

 

* Dual

 

Post code >

 

Telephone >

 

Student

 

Students please state name of school or college

 

 

If your telephone number is ex-directory – please tick

 

 

 

 

April 2009 to March 2010

 

There is a sliding scale of charges for new members joining after June. Please insert the appropriate amount due under “Subscription”.

Full year

£

 

Part year

£

For office use only

Subscription

12.00

< Single >

Subscription

 

 

or

21.00

< Dual >

(see schedule below)

 

 

Plus joining fee

2.00

If applicable

Plus joining fee

2.00

 

Amount enclosed

14.00

 

Amount enclosed

 

 

 

23.00

 

 

 

 

 

Cheques should be made payable to:

Classical Music Society

Signed:

 

                                                                                   

Information you give on this form is used exclusively for our membership records and allows us to keep you informed of Society events

 

Date of application >

Day

Month

Year

 

PAYMENT SCHEDULE

FOR NEW MEMBERS ONLY

 

* PLEASE NOTE

MONTH JOINING

AMOUNT

SINGLE

TO PAY

* DUAL

PLEASE

ADD

 

APRIL TO JUNE

£12.00

£21.00

£2.00

Dual membership covers two people

JULY TO SEPT

£9.00

£16.00

AS A

at the same address

OCT TO DEC

£6.00

£11.00

ONE-OFF

 

JANUARY

£4.50

£8.00

JOINING

 

FEBRUARY

£3.50

£6.00

FEE

 

MARCH

Pay full annual fee and your membership is automatically extended to the end of the following membership year