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THE
STAFFORD JAZZ SOCIETY
founded 1981 |
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OBJECT:
"To promote and sustain an appreciation of jazz in all
its forms"
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MEMBERSHIP
APPLICATION FORM
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Please read membership notes for information and prices of membership, then print out this form and send it along with a cheque for the required amount, payable to: SJS, to The Stafford Jazz Society, 48 Newland Ave., Stafford, ST16 1NL. Alternatively, you may join at any lunchtime concert.
Please fill in all parts of the applicant address in BLOCK CAPITALS!
I/We wish to apply for/renew membership of the Stafford Jazz Society. I understand that information given below will be held for the purposes of mailing only.
| Prefix / Name / Title: | |
| House name / number and street: | |
| Town or district: | |
| Postal town: | |
| County: | |
| Postal code: | |
| Contact telephone number (optional): | |
| Email address (optional): |
This section for office use only:
| DATE | DATE | DATE | |||
| MEMBER | RENEWAL | RENEWAL | |||
| PAID | PAID | PAID | |||
| CARD/JM | CARD/JM | CARD/JM |