Classical Music Society
  Application for membership
  I / We hereby apply for membership of the Society and agree to conform to the Constitution & Rules (available on request)
   
Mr/ Mrs/ Ms
   Please print clearly    Type of
   Name:         membership
   Address:         required:
             (Please tick)
            Individual   
             * Dual   
  Post Code  >     Telephone  >    Student   
   Students please state name of school or college: If your telephone number is ex-directory please tick  
       
          There is sliding scale of charges for new members joining after June. Please insert the appropriate amount due under "Subscription"
         
  FULL YEAR  £   PART  YEAR  £ For office
  Subscription: 12.00 <  Single  >    Subscription: use only
    or  21.00 <  Dual  > (See schedule below)     
  Plus Joining Fee: 2.00 if applicable    Plus Joining Fee: 2.00    
  Amount enclosed: 14.00   Amount enclosed:      
      23.00        
                 
  Cheques should be made payable to:    Signed:      
  Classical Music Society   Day Month Year
  Information you give on this form is used exclusively for our membership records and allows us to keep you informed of Society events Date of application   >      
                 
                 
PAYMENT SCHEDULE          
FOR NEW MEMBERS ONLY   * PLEASE NOTE
MONTH AMOUNT TO PAY PLEASE      
JOINING SINGLE DUAL  * ADD £2.00 Dual membership covers two people 
APRIL to JUNE £12.00 £21.00 AS A at the same address
JULY to SEPT £9.00 £16.00 ONE-OFF        
OCT to DEC £6.00 £11.00 JOINING
JANUARY £4.50 £8.00 FEE  

 
FEBRUARY £3.50 £6.00      
       
   
     
N.B.MARCH Pay full annual fee and your membership is automatically
extended to the end of the following membership year
When complete, please bring to a Society meeting or post to
CMS Treasurer 87 Brindley Street, Stourport-on-Severn. DY13 8JG
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