Membership form

Lancaster Footlights

NEW MEMBER Membership Form 2017 / 2018

Name: (Dr / Mr / Mrs / Ms / Miss) __________________________________________

Address: ______________________________________________________________

__________________________________________ Postcode: _____________

Telephone: ______________________________

Email [write clearly, please]: ___________________________________________________________________

I wish to be a member of Lancaster Footlights for the year 2017 / 2018

and agree to abide by the rules of the Constitution

I am interested in taking part in the following [please tick]:

Please tick if you have:

Enhanced DBS

First Aid training (and date of expiry)

Please indicate other relevant

skills / interests:

Please insert amounts Membership fee:		*Adult* [£15]
		*Junior* [£10] Junior’s age:
		*Student* [£10]
Newsletter	free of charge	*by email*
		*by post* [£6.50 p&p; 1 per address]
[Optional] I wish to include a donation of
TOTAL

I enclose £ ................. Signature ......................................... Date ....................

[Please make cheques payable to Lancaster Footlights and send with completed form to

The Membership Secretary, Lancaster Grand Theatre, St Leonardgate, LANCASTER, LA1 1NL]

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