Eastbourne Arts Centre Membership Form



For the Attention Of:

VERONICA GOTTLIEB (MEMBERSHIP SECRETARY) 34 BOSTON CLOSE, EASTBOURNE, BN23 5RA

I/We would like to: (a) renew membership: (at £12 or £9 each for 2+ at same address) or (b) become a new member of Eastbourne Arts Centre: (at £8 each) I/We enclose a cheque for................................

NAME:

ADDRESS:




POST CODE:

HOME PHONE:

E-MAIL ADDRESS:

DATE:

Cheques only please made payable to: EASTBOURNE ARTS CENTRE TRUST A stamped addressed envelope would be appreciated.

Unless you object your name and address details will be kept.