Mr / Mrs / Miss / Title .........................................................................................
Name...................................................................................................................
Address..................................................................................................................
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Post Code............................................................... Tel.................................................
Email Address ...............................................................................................................
No of Members...................x £57 = £..........................
No of Students.....................x £15 = £..........................
No of Patrons ...................x £25 Minimum donation / person = £..........................
TOTAL FEES = £..........................
MEMBERS ARE ENTITLED TO FREE ADMISSION TO ALL CONCERTS
Please make cheques payable to "Beaconsfield Concerts "
Note - Members who elect to become Patrons for an additional £25 minimum donation per person are entitled to preferential seating and free programmes ; patronage will be gratefully acknowledged in our programmes.
GIFT AID DECLARATION FOR PATRONS
James Wright
Honorary Treasurer
7 Goddington Road
Bourne End
Bucks SL8 5TT