Full-year membership application form (UK taxpayers only)
Click here to print this form.
Name ___________________________________
Address ___________________________________________________________________
___________________________________________________________________
Tel ___________________________________________________________________
Fax / e-mail ___________________________________________________________________
No. Category Subscription Name(s) (if other than above) Cost
___ Full member(s) £50 each _____________________________ _______
_____________________________
_____________________________
___ Student(s) £15 each _____________________________ _______
_____________________________
_____________________________
Donation _______
Total _______
I pay UK income tax and/or CGT and would like the club to reclaim tax
on this donation through Gift Aid.
Signed ___________________________ Date ______________
Applications to:
The Hon. Secretary
Worcester Concert Club
8 Westward Road
Malvern
Worcs
WR14 1JX
enclosing:
- this application form,
- a crossed cheque made payable to Worcester Concert Club and
- a stamped addressed envelope
