membership-form – The Circles of Art

Title

First Name

Surname

Address

Post Code

Contact phone number (1)

Contact phone number (2)

Email *

MEMBERSHIP FEES

I would like to be a member of The Circles of Art with an annual subscription of:

£200

£200+

Other amount:

UNDER 25s

Those under 25 may join for a reduced membership fee of £100 that will not increase until member reaches the age of 30.

£100

£100+

Other amount:

PAYMENT

Please make your payment by BACS to The Circles of Art Ltd.
Handelsbanken
Account No. 16292746
Sort Code. 40 51 62
Please use your SURNAME as the reference.

If paying by cheque please make payable to The Circles of Art Ltd and send to:
The Circles of Art Limited
Monks Hall, Syleham, Eye
Suffolk, IP21 4LN.

I am over 25 years old

I am under 25 years old

If under 25 please provide date of birth