MEMBERSHIP FORM 2016/17

Surname

 

 

USE  

BLOCK  

LETTERS

First names:

 

Home address:

 

Home telephone:

 

Office telephone:

 

Mobile telephone:

 

Email address:

 

Voice (circle all that apply)

        Soprano        Alto        Tenor        Bass 

SECOND MEMBER RESIDING AT SAME HOME ADDRESS

NAME:

Mr/Ms

details etc. if different from above

Home/Office/Mobile/email

VOICE

        Soprano        Alto       Tenor         Bass 

 

20016/17 SUBSCRIPTION RATES

 

Individual Member of the Choir (retired rate)

£60 (£30)

 

 

Please tick as appropriate

Two Members residing at the same home address - total for 2 members. (retired rate)

£90
(£45)

 

 

Please complete the above, and forward with your cheque (made payable to

London’s Transport Choir) and forward to The Treasurer, as follows:

Trevor Haynes

5 Home Farm Close

Great Oakley

CORBY

NN18 8HQ

Alternatively you may pay by bank transfer:-

Bank Sort code: 08-92-99 Account no: 65105898
Account name: London's Transport Choir
Please use your surname as a payment reference so that Trevor can identify the payment. To ensure we have your up to date contact details (even if nothing has changed), please also forward this completed renewal form to Trevor at haynestre@gmail.com or the postal address above.






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