WEYMOUTH
MUSIC CLUB
Membership
Booking Form
2012/13 Season
NAME:
____________________________________
ADDRESS:_________________________________
___________________________________
Tel:_______________
Post Code:_______________
e-mail
address:______________________________
Subscription for one
year, including entry to six concerts
| If paid before July 31st 2012 | £50 | £ |
| If paid after July 31st 2012 | £55 | £ |
| Students and jobseekers | £20 | £ |
| Donation | £ | |
| Total | £ |
Please
send this completed form together with your cheque (payable to Weymouth Music
Club) to
The
Membership Secretary:
Mrs
F. Taylor, 28 Weyview Crescent,
Broadwey,
WEYMOUTH, Dorset, DT3 5NR. (Tel: 01305 813269)