BCMA—Application for membership

To: The Secretary, Brentwood Cathedral Music
Association, Cathedral House, Ingrave Road,
Brentwood, Essex CM15 8AT

Full Name(s): ………………………………………………
………………………………………………… Mr/Mrs/Miss
Address: ………………………………………………………
………………………………………………………………………
………………………………………………………………………
………………………………………………………………………
Postcode: ……………………………………………………
Telephone: …………………………………………………
E-mail: …………………………………………………………

I / We wish to apply for membership of the
Brentwood Cathedral Music Association and
enclose a donation of £ 10.00 (£ 5.00 for
members under 18 years of age)

Signature: ……………………………………………………
Date: ……………………………………………………………

Gift Aid
I declare that my subscription be treated as
Gift Aid
Yes o
No o

Please make cheque payable to
Brentwood Cathedral Music.