FRIENDS SCHEME APPLICATION FORM

MEMBERSHIP TYPE - Please select your preference:

Silver Friend £25pa (minimum)
Gold Friend £40pa (minimum)

If you are an existing Friend do consider upgrade to the next level of Membership.
We will be hugely grateful for your increased financial support, and you will receive even more benefits!

YOUR DETAILS

Title :
First name :	* Required
Surname :	* Required
Email Address :
Mobile Phone :
House name/Street address :
Village/Suburb :
(Postal) Town :
Postcode :

PAYMENT AMOUNT

Membership:	£
Donation:	£
Total:	£

PAYMENT TYPE

Please select

	By Bank Transfer: To Benson Choral Society Lloyds Bank Plc PO Box 1000 BX1 1LT Sort Code: 30-95-96 Account No: 21898260 Reference: your surname followed by "FRIEND"
	By Cheque: Please make cheques payable to Benson Choral Society

Click the Next button below to submit your application...