FRIENDS
OF TEIGNMOUTH JAZZ FESTIVAL
MEMBERSHIP APPLICATION FORM
I/We wish to join the Friends of Teignmouth Jazz Festival
| Name 1 .......................................... | Signature 1 ................................................................. |
| Name 2 .......................................... | Signature 2 ................................................................. |
| Address ......................................... | Email address |
| ........................................................ | |
| ....................................................... | Postcode ................................................... |
| Tel .............................................. | |
| Membership Fees | £........................ *** |
| Donation | £........................ |
| I enclose a cheque for the sum of | £........................ |
| Date | .......................... |
*** £20 single or £35 for two people at the same address
Friends of Teignmouth Jazz Festival Registered Charity No.1086155.
Please print this
form, complete and send with your remittance to
Ian Pennicott, 8 Brook Orchard, Kingskerswell,
NEWTON ABBOT, TQ12 5AX
