MEMBERSHIP
APPLICATION FORM

Print off this form and complete. Return it to Mrs. Jean Teasdale, 8,Belvedere Ave,Waterfoot,Rossendale. Lancs. BB4 9UG

Subscription Rate £10-Reduced rates forJUNIORs (under18) and Senior Citizens-£5

Name : Mr. Miss. Mrs. Ms  
Address:  
 
 
  Post Code:
Telephone Number  
E-mail address  
Date of Birth ( if under 18)  

INTERESTS - please tick appropriate boxes
Acting   Sound   Wardrobe   Directing  
Lighting   Properties   Set design   Stage Managing  
Publicity   Set construction   Make-up   Front-of-house duties  
Please list any relevant experience at the bottom of this form

I wish to become a member of The Rossendale Players and I enclose £______cash/cheque as my first year's subscription.

Cheques payable to "Rossendale Players" please

Signature............................................         Date:-.........................

For office use only

Date received

Approved at meeting

Mailing secretary advised

Membership Number