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Membership Application, Year 2002
Name …………………………………………………………………………………..
Address …………………………………………………………………………………..
…………………………………………………………………………………..
Post code …………………… Telephone …………………………………
E-mail address (only if you check it regularly)
………………………………………………………….……………………………….
Any medical condition that we should be aware of
…………………………………………………………………………………………
Contact name if an emergency ……………………………………………………
and telephone number ……………………………………………………….
I apply to join the North Wales Clarinet Choir, enclose the membership fee and agree to abide by the conditions of membership.
Signed ……………………………………………………………………………
Fee £60 p.a
. (Cheques should be made payable to the North Wales Clarinet Choir.)Please print out and send to address on home page.