LMC MEMBERSHIP FORM

Please print out and complete this form, and return it to:

The Administrator, London Musicians' Collective Ltd,
Room 3.6, Third Floor, Lafone House,
11 - 13 Leathermarket Street, London SE1 3HN, England.
Tel: 020 7403 1922
Fax: 020 7403 1922
lmc@lmcltd.demon.co.uk

PLEASE PRINT INFORMATION CLEARLY IN BLACK INK
NAME:
ADDRESS:
Postcode: Country (if not UK):
Tel: Fax: Email:
Instruments played (if any):
Currently active groups:
Other information:

I enclose the following membership subscription:

 *

UK standard

 £25.00

UK concessionary

 £15.00*

Europe

 £30.00**

Elsewhere

 £32.00

I would like to make a donation to LMC of

 £

I enclose a total of

 £
I agree to become a company member of LMC
Signature (please date also): (note: your signature is a legal requirement).
I am happy for my details to appear on the LMC web site directory (delete as applicable): YES/NO
I am happy for my details to appear on the LMC printed directory (delete as applicable): YES/NO
Please make cheques payable to "LMC Ltd".
* Concessionary members: if applying for concessionary membership please provide photocopy of relevant documentation (student card, UB40 &c).
** Members outside the UK: Payment should be made to London Musicians' Collective in pounds sterling on a cheque or IMO drawn on a British bank.
return this form to:
The Administrator, London Musicians' Collective Ltd, Room 3.6, Third Floor, Lafone House,
11 - 13 Leathermarket Street, London SE1 3HN, England.
LMC is a registered charity number 290236. VAT registration number 714 3579 33.