Name:
Address:
Postcode:
Telephone:
E-mail:
I would like to become a Member of SHAREMUSIC SOUTH-WEST and enclose a donation / membership fee of £ (suggested minimum £10 please).
Please make cheques payable to Share Music South West.
Would you like an acknowledgment/receipt? Yes No
Signed: Date:
When you are satisfied that you have completed the form correctly, please print it by clicking the ‘Print form’ button below, then sign and date it and post it with your cheque to Rob Paynter, Share Music South West, The Round House, Coombe Farm, Chittlehampton, Umberleigh, Devon, EX37 9RD.
back to previous page
