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 (£10)
   c  Joint Membership for one year (£15)
   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:

John Owen-Ward
Membership Secretary
City Music Society
102 Selborne Road
London N14 7DG
Mr/Mrs/Miss  
Address  
 
 
Tel. No.  
E-mail  
Date  
(BLOCK CAPITALS PLEASE)


 

 

 

 

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

Standing Order

To The Manager, 

Bank  
Branch  
 
Account No.   
Date  

Please place at Coutts & Co., 440 Strand, London WC2R 0QS, Sort Code 18-00-02, to the
credit of the City Music Society Account No. 15948260, the sum of £_______________
on 1st January 200___  and on the same date in each succeeding year until further notice.
Signed  
Name  
Address  
 
 
(BLOCK CAPITALS PLEASE) 


Download a copy of this form in Microsoft Word format

 

Latest update: 31 December 2008
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