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.

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