STOURBRIDGE THEATRE COMPANY
APPLICATION FORM
| Name: |
| Address: |
| Post Code: |
|
Telephone - Evenings: Daytime: |
| e-mail address: |
You are able to become either a Member or a Patron, or go onto the Mailing List.
Membership for a year (or remainder of a year) costs:
Member: £15.00 Patron: £30.00
Junior £4.00
Mailing List: No Charge
The Membership Year runs from 1st April to 31st March.
* I WOULD LIKE TO BECOME A MEMBER/PATRON/BOTH
* I WOULD LIKE TO GO ON TO THE MAILING LIST
If you are planning to become a Member, what are your particular interests? (please
tick)
| Acting | Scenery | Playreading | |||
| Front of House | Producing | Backstage | |||
| Publicity | Social Events | Other |
Is this your first venture into drama? If not, what previous experience have you had?
Signed:
Date:
Please make cheques payable to: Stourbridge Theatre Company.
Send your cheque, and a completed print-off of this page to the Secretary: