Song in the City Charitable Trust [Charity Number 114750] Email: info@songinthecity.org Membership Application Form I/We would like to support the work of the Song in the City Charity Trust by becoming a member of the Friends of Song in the City. Please complete using block capitals Title: ……………. Forename: ………………………………………… Surname: ………………………………………………………….. Address: ………………………………………………………………………………................................................. Postcode: ………………………………………... Telephone: …………………………………………………………. Email: ……………………………………………………………………………...... I would prefer not to receive relevant correspondence from Song in the City sent via email □ Joint Membership - Additional Member Title: ……… Forename:………….........................…… Surname:……………………................... Email: ……………………............................................................... I would prefer not to receive relevant correspondence from Song in the City sent via email □ Do you have any expertise or services that may be of benefit to the Friends in supporting the work of Song in the City? …………………………………………………………………………………………………………………………………………………………………………. Type of membership (please tick the appropriate box) Adult - £30.00 □ Joint - £60.00 □ If you wish Gift Aid to be applied to your enclosed payment / donation, please tick here □ I/We enclose payment as above, and /or a donation of £………… (not less than the appropriate category of membership). Total enclosed £…………… Please make cheques payable to Song in the City Charity Trust. Please return this form to a member of staff at a concert, by post to Song in the City Charity Trust, Flat 13, 195 Long Lane, SE1 4PD, or by email to admin@songinthecity.org Thank you for your support!