Norfolk and Norwich Music Club 2010 / 2011

Purchase Membership Subscriptions and/or Season Tickets (including membership)

I/we enclose £ _______ for _______ Membership or £ _________ for Season Tickets


Plus Donation £
_______________________________ Total ____________________________

Name
_________________________________________________________________

Telephone
_______________________________

Address
_________________________________________________________________


_________________________________________________________________


_________________________________________________________________

Postcode
_________________________________________________________________

Email
_____________________________


Gift Aid Donations: Please treat my/our donations as Gift Aid from the date of this declaration indefinitely. I/We pay Income/Capital Gains Tax at least equal to the amount recclaimed, i.e 28p for each £1 we give. I /We will notify you if we cease to be taxpayers.


Signed ____________________________________________ Date ________


Please return form with your cheque (payable to Norfolk & Norwich Music Club), plus SAE to:

Hon Membership Secretary, Angela Skeggs,
2 Church Street, Old Catton, Norwich NR6 7DS

Reg Charity No 278446