APPLICATION FORM 2012

Please send me membership cards, which access to all four  concerts, and / or single tickets as follows:

        Membership cards

   ...  @ £36 each                                      £ ...

        Concert on  March 31

   ...  Single tickets @ £17.50 each

   ...  Child/student tickets @ £3 each       £ ...

         Concert on April 14

   ...   Single tickets @ £14 each

   ...   Child/student tickets @ £3 each      £ ...

         Concert on April 28

   ...    Single tickets @ £14 each

   ...    Child/student tickets @ £3 each     £ ...

          Concert on May 12

   ...    Single tickets @ £14 each

   ...    Child/student tickets @ £3 each     £ ...

          Donation                                       £ ...

          Grand total                                   £ ...

Name(s)         ...........................................

                       ...........................................

Address:  ........................................................  

               .........................................................

Postcode:        ......................

 Please complete the following if appropriate:

 I want the Painswick Music Society to treat my donation as a Gift Aid Donation.

 I am a taxpayer.

 Signature ........................................................  Date......................

Cheques should be made payable to Painswick Music Society

Ticket Sales

Canton House, New Street, Painswick, Glos GL6 6XH

Please enclose a stamped addressed envelope.