THOMAS COATS MEMORIAL CHORAL SOCIETY - REGISTRATION FORM 2009

To register your membership of the Society, please complete the form below

and return it to:

ROGER RODDICK, IONA, 39 HAZELWOOD ROAD, BRIDGE OF WEIR

PA11 3DX

NAME:              __________________________________

ADDRESS:        ___________________________________

                        ___________________________________

                        ___________________________________

PHONE:            ___________________________________

EMAIL ADDRESS   _______________________________________

SECTION:         ____________________________ 

Age Group       16-24¨            25-64¨           65+¨

I require music as indicated below:                                                                                            

Haydn Harmoniemesse¨           Mendelssohn Lobgesang ¨         

I  ENCLOSE SUBSCRIPTION OF: (tick appropriate box)  

£35(full) ¨            £10(student)¨    £10(associate)¨

(Please  make cheques payable to “ Thomas Coats Memorial Choral Society”. Receipts will not be  issued unless requested)                       

IF YOU DO NOT WISH YOUR DETAILS TO BE RECORDED ON OUR DATABASE PLEASE

MARK THIS BOX.

 ¨

THE INFORMATION PROVIDED WILL BE USED FOR CHORAL SOCIETY ADMINISTRATION PURPOSES ONLY.  

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