Woking Concert Society

Application for Subscription Series / Membership and Additional tickets

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Subscription Concert Choices:        (prices)

1 25th October 2009 2 22nd November 2009 3 10th January 2010
4 14th February 2010 5 14th March 2010 6 11th April 2010
(Please tick Concert numbers required.) Totals £
Name
1 2 3
4 5 6
£
 
Name
1 2 3
4 5 6
£
 
Name
1 2 3
4 5 6
£
 
Additional tickets @ £12  (please indicate below) 
Concert Date QTY Concert Date QTY  
25th October 2009
 
22nd November 2009
 
£
10th January 2010
 
14th February 2010
 
£
14th March 2010
 
11th April 2010
 
£
 
If you would like to give additional support
      to the WCS, please make a donation:
£
 
GRAND TOTAL: £
 

 
Signed: Print: Date:
Address:
Tel: email:

Please send this form with your cheque made payable to Woking Concert Society enclosing a S.A.E. to:

Ruth Felton, Membership Secretary, Dunsland, Hook Hill Lane, Woking. GU22 0PT.  (Tel. 01483 766513)

DATA PROTECTION ACT:  The information you give may be passed on to the H. G. Wells Centre who may then send you literature.  If you do not wish to receive this please tick the box.