Membership Form

MORTIMER DRAMATIC SOCIETY

 

  

Membership Application Form

 

 

Please use CAPITALS

 

 

Name: …………………………………………………           Tel. No.: ……………………………..

 

 

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

 

......................................................................   Post Code: …………………………

 

email address: ..................................................………………………………………….

 

 

Are you happy to have these details circulated on a Members’ List?          Yes / No

 

 

Would you prefer to receive your News Letter by email?                         Yes / No

 

Please indicate your particular interests:

 

Acting   Dancing   Directing   Prompt

……..   ……..   …..…   ………

Set Building   Set Dressing   Singing/Musical Instrument   Wardrobe   Any other

………   ………   ……..   ……..

 

Previous Experience (if any):

 

 

 

 

 

 

 

Signed: ………………………………………………     Date…………………………………………….

 

 

Membership subscriptions:    

            Full:  £20.00                      Students and Senior Citizens:  £10.00

 

 

Paid annually at the AGM or to the Treasurer or Secretary on joining.

 

 

Cheques made payable to Mortimer Dramatic Society