City of Sunderland Millennium Orchestral Society

Application for Membership

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Surname:  

Title:

  
First Name:  
Address:  
 
 
  Post Code:  
Phone No.:  
Date of Birth (if under 21):  
 
Category Membership Fee Tick
Member £30.00  
Concession
(Full Time education; unwaged)		 £15.00  
Patron £60.00  
If joining as a playing member,
please state your principal instrument:		  
Other instruments played:  
If you have been, or are,
a member of any other
musical group, please state
which groups:		  
 
 
Enclosed Cheque/Postal Order/Cash (Payable to CoSMOS): £ 
 I agree to abide by the constitution and rules of CoSMOS.
Signed:   Date:  

Post to: Membership Secretary, CoSMOS,
c/o West Park Church, Stockton Road, SUNDERLAND, Tyne & Wear SR2 7AQ

(Membership fees correct at March 2009)