WEYMOUTH  MUSIC  CLUB

Membership  Booking  Form

2009/2010  Season

NAME: ____________________________________

ADDRESS:_________________________________

               ___________________________________

Tel:_______________ Post Code:_______________

e-mail address:______________________________

Subscription for one year, including entry to six concerts

If paid before 31st July, 2009:                                 £45                                       £________

If  paid  after 31st July, 2009:                              £48                                      £________

Students and jobseekers:                              £20                                     £________

Additional donation:                                                                                    £________

Total Remittance:                                                                                        £________

Please make cheques payable to:

WEYMOUTH  MUSIC  CLUB

Please send this completed form together with your remittance to:

The Membership Secretary:

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