CUMBRIA SINGERS (“CS”)    MEMBERSHIP 2023-24
Registered Charity Number 1168081

Name |
Address |
Postcode |
Telephone |
Email (please print) |
I agree that CS may use my details to contact me
Signature |

Data Protection : Your information will only be used by CS for its purposes and will not be supplied to other organisations/individuals. Any data supplied will be destroyed after two years.
However, if you wish, we can pass your details to other members living in your area so that you can liaise for lifts etc.  Please sign below to confirm that you agree to this sharing of information.

Signature |

OTHER INFORMATION (please circle whichever applies, if known)
The part I prefer to sing | Soprano      Alto      Tenor      Bass
I am a member of other choir(s) | Yes (please list below)                   No

SUBSCRIPTION, inclusive of any music hire   (please circle whichever applies)
Adult £80           Adult Early Bird £70 (up to 31^st October)       Full-time Education £35
Payment | BACS (preferred)              Cheque                    Cash

BACS ‘Cumbria Rural Choirs’ 40-52-40 Account 00013018    Please make sure that your name appears as the payee.
Cheques should be made payable to ‘Cumbria Rural Choirs’

Gift Aid Declaration:  I confirm that I am a UK taxpayer and that I wish my membership fee to be treated, as far as possible under current HMRC rules, as a Gift Aid Donation
Signature |

Please return to the Treasurer: 
Clive Riches, 16 Byrnes Close, Plumpton, Penrith, Cumbria CA11 9PE  or e-mail:  cnriches@gmail.com