Application for Annual Membership

                 FIRST NAME & SURNAME ..................................................................

ADDRESS   ................................................................................

                                 .....................................................................................

                                 .....................................................................................

POSTCODE .....................................

                TELEPHONE NUMBER ...........................................................

                EMAIL ........................................................................................

                    AGE GROUP -- UNDER 30              30-50               50- 65               Senior Citizen

  I WISH TO APPLY FOR CLUB MEMBERSHIP AND ENCLOSE MY ANNUAL SUBSCRIPTION OF £12 (£19 FOR JOINT     MEMBERSHIP) £7 FOR SENIOR CITIZENS, STUDENTS FREE.

 I UNDERTAKE TO ABIDE BY THE CLUB’S CONSTITUTION.   (COPY SUPPLIED ON REQUEST)

 MY PREFERRED STYLE(S) OF JAZZ   ...............................................................................................

  PLEASE SEND ME                A4 SIZE POSTERS FOR EACH GIG. I CAN ARRANGE DISPLAY.

 SIGNATURE:.......................................................      DATE:......................................                      

 PLEASE MAKE CHEQUES PAYABLE TO TUNBRIDGE WELLS JAZZ CLUB

FOR OFFICE USE

PLEASE PRINT THIS FORM OUT, COMPLETE IT AND BRING IT TO OUR NEXT CONCERT

WE WILL THEN GIVE YOU A DISCOUNTED TICKET TO THE CONCERT AND YOUR MEMBERSHIP CARD AND DISCOUNT VOUCHERS FOR OTHER CONCERTS  ETC. WILL BE SENT TO YOU IN A FEW DAYS