Application for Membership

I apply to the Committee to be elected as a member of Newcastle Operatic Society and agree to abide by the rules of the society. By a committee decision the first subscription is payable on application for membership. It is renewable on the 1st

January annually.

First Name:*

Surname:*

Email Address:

House Number/Name:*

Street:*

Town:*

County*:

Postcode:*

Mobile Number:

Home Telephone:

Have you at any time been a member of any other Theatre Groups or Societies? YES / NO

If yes please state:

Are you a member of any other Theatre Groups or Societies at this time? YES / NO

If yes please state:

Membership Category Adult Junior (under 18 years) Senior

Please Circle £15.00 £7.50 £7.50

Signature: Date:

Please return this completed form to:

11 Wem Grove, Chesterton, Newcastle Under Lyme, Staffordshire ST5 7RA