Application Form

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 this 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


	Norfolk and Norwich Music Club 2007/2008 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 this 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