Please print off the following sheet (copy and paste into a word document first) and return to 38,Stone Lane, Lydiard Millicent , Wilts, SN5 3LD or bring it with you to rehearsals.
Please return this form with payment .
EMPIRE THEATRE COMPANY PAYMENT FORM.
| Name ……………………………………………………………………….....… Address............................................................................................... .......................................................................................................... Tel:..................................................................................................... Mobile:................................................................................................ Email Address...................................................................................... | |||||
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| EMPIRE THEATRE COMPANY MEMBER (1 YEAR) | £250 |
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| EMPIRE THEATRE COMPANY JUNIOR (1 YEAR) | £200 |
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| ETC MAJOR MUSICAL PRODUCTION ONLY (FAME) | £150 |
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| ETC & ETC JNR | £350 |
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| MONTHLY STANDING ORDER ETC JNR@ £16 ETC @ £20 BOTH @ £29 |
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TOTAL |
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METHOD OF PAYMENT (PLEASE CIRCLE) | MONTHLY STANDING ORDER | CHEQUE | CASH | ||
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| | Bank: Lloyds Bank Sort code: 30-98-41 Account No: 00669807 Acc. Name: Empire Theatre Company
Please give reference as name of member + subs eg. Joe Bloggs subs
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