Sunderland Symphony Orchestra

Application for Membership

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Surname:  

Title:

  
First Name:  
Address:  
 
 
  Post Code:  
Phone No.:  
Date of Birth (if under 21):  
 
Category Membership Fee Tick
Playing member £75.00  
Playing member

Concession

(Student)

  

£45.00

 

  

Friend

(Non-playing member)

 £30.00  
Patron £60.00  

Playing members  may pay their fees in three termly instalments. 

Delete the one which does NOT apply:

Lump sum.   Three instalments.
If joining as a playing member,
please state your principal instrument:		  
Other instruments played:  

How did you hear of the Sunderland Symphony Orchestra?

 

List any other musical groups with which you play.

  
 
 
Enclosed Cheque/Postal Order/Cash

(Payable to Sunderland Symphony Orchestra):

 £ 
 I agree to abide by the constitution and rules of the Sunderland Symphony Orchestra.
Signed:   Date:  

Post to: Membership Secretary, Sunderland Symphony Orchestra,
c/o West Park Church, Stockton Road, SUNDERLAND, Tyne & Wear SR2 7AQ

(Membership fees correct at January 2012)