Membership of the Friends of Opera Restor'd

Please print this form, fill in your details and post to:
The Administrator
54 Astonville Street
London SW18 5AJ


Name ......................................................................
Address ...................................................................
.................................................................................
...........................................Postcode.......................
Tel: (Day).............................................
Tel: (Eve).............................................
Please enrol me as a friend as indicated below:

(Please tick)
individual £25
under 25 £12.50
 

In order to save on administration costs, please pay your subscription in one of the following ways; (please tick and fill in as appropriate)
A. By Cheque (Made out to Opera Restor'd)
B. By CAF Voucher (OR is a registered Charity)
C. By Bankers Order (please fill in below and return to Administrator)

To the Manager...........................................Bank Ltd
Address....................................................................
.................................................................................
please pay to Opera Restor'd at Loyds Bank Ltd, Hanover Square, London,
Sort Code 30-93-84. Acc No. 0576110
the sum of:
£...............................................................................(WORDS)
£...............................................................................(FIGURES)
on the .......day of....... 200... and on the same day in each succeeding year until further notice and debit my account with each payment when made.

My Account No. is.....................................................
Signature....................................................................
Address......................................................................
Date...........................................................................

 


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