Full-year membership application form (UK taxpayers only)
Click here to print this form.
Name ___________________________________
Address ___________________________________________________________________
___________________________________________________________________
Tel ___________________________________
E-mail ___________________________________
No. Category Subscription Name(s) (if different from above) Cost
___ Full member(s) £95 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:
Membership Secretary
Worcester Concert Club
56 Tunnel Hill
Worcester
WR4 9SD
enclosing:
- this application form,
- a cheque made payable to 'Worcester Concert Club' and
- a stamped addressed envelope
