Please either print this form, complete it and post it to the address below or download it, complete it and email it to the membership secretary.



Membership Application Form 

I/We* support the aims of the Newbury & District Organists’ Association and apply for Single/Joint/Student membership*.

2015 Membership Classes and Rates:
Class                                       Rate
Single Membership              £ 8.00
Joint Membership                £12.00
Student Membership            £ 3.00

Please complete section below in BLOCK CAPITALS
Surname:
Christian or other name(s):
Title(s):
Degrees/Diplomas:
Address:


Postcode:
Telephone:
Mobile:
E-mail:
Fax:
Interest e.g. Player / Enthusiast:
The above information may be kept in a manual or electronic database but will not be disclosed to any third party.
*Please delete item(s) which do not apply.

In addition to the membership fee I/we* would like to make a donation of £……………. to help towards the costs of recitalists’ fees and the venues of organ playing visits, and our charity, the Kampala Music school in Uganda.

I/We* enclose a cheque made payable to the “Newbury & District Organists’ Association” for £ …….………



Signed: …………………………………… Date: …….…………………...

Please send completed form and remittance to:
Mr J. Pynn, Hon. Membership Secretary, 27 Silchester Road, Tadley, Hampshire, RG26 3ED