Subscription Form

Letchworth Music Club 

SUBSCRIPTION FORM 2019/2020

(Printable PDF)

Subscription rate: £78 (Children/students £39)

Members renewing before 1 June: £75 (Children/students £37.50)

A member who introduces a new member, paying the full subscription rate, may claim a half price subscription.

Part-season subscribers may deduct £10 (adults) £5 (children/students), per concert already held.

I enclose cash/cheque in respect of

Adults

@ £

£

Children/students

@ £

£

Donation**

@ £

£

TOTAL

£

Name(s)………………………………………………………

Address (if we have not already been given it)

…………………………………………………………………

…………………………………………………………………

…………………………………………………………………

Telephone number:  …………………………………………

E-mail: ………………………………………………………

Please make cheques payable to LETCHWORTH MUSIC CLUB

Return to Membership Secretary: Marion Ohlendorf, 4 Chestnut Walk, Stevenage, SG1 4DD

**If making a DONATION, please sign this declaration:

The donation I have made was from taxed income, so is eligible as ‘Gift Aid’.

Signature:……………………………………………………