Tel: 01344 643 312 Fax: 01344 640 849	Instructions
	1. First enter your data in the table below and make out a cheque for £15 to Binfield Concert Band which is refundable if you decide not to join. Otherwise it becomes your Membership Fee for the year 2005-2006
	2. Print the completed form in black ink size A4 portrait this saves your colour cartridge and ensures all the information is printed on your form correctly
email: enquiries@binfieldconcertbrass.org.uk	3. Sign and post to the name and address in 4
MEMBERSHIP APPLICATION FORM 2005/6	4. Membership Secretary Binfield Concert Band Suite 2 Oakmede House Binfield Berkshire RG42 4JF

Try to provide more than one choice, if you can't, please choose N/A The above days and times are during term time only

First musical instrument preference

Baritone Bassoon Clarinet Cornet Drums Euphonium Flute French Horn Kinder Klari Oboe Piano Percussion Tenor Horn Trombone Trumpet Tuba Other Other specify

Second musical instrument preference

Baritone Bassoon Clarinet Cornet Drums Euphonium Flute French Horn Kinder Klari Oboe Piano Percussion Tenor Horn Trombone Trumpet Tuba Other Other specify

Have own musical instrument

Baritone Bassoon Clarinet Cornet Drums Euphonium Flute French Horn Kinder Klari Oboe Piano Percussion Tenor Horn Trombone Trumpet Tuba Other Other specify

If you play a musical instrument what is it and what standard have you reached

Standard

Parent or prospective student if over 18 sign printed copy here