Membership Form

Name(s) :
 
Badge name(s) (if not as above) :
 
Address :
 
City/Town :
County :
Postcode :
 
email address and/or phone number :
(Optional but helpful if we need to contact you)  
 
Quarter Tone would like to provide PRs in electronic format where possible and convenient.
Would you prefer to receive
  : PR by post : PR by email (above) : Link to PR in email
(please tick one) : ___ : ___ : ___
 
Willing for badge name to appear on the web list of members : Yes / No
 
Membership type (please enter number required)
Full Attending
(£35)		 Concessionary
(£22)		 Child aged 5 to 17
(£1 per year of age)		 Child under 5
(£0)
_____ _____ _____ _____
 
I agree to have my details stored in a database for the use of UK filk conventions.
 
Signed :
 
Date :
 
If you would like a programme slot, please also send a set request.
We cannot guarantee to fit everyone in, but we will try!

Notes:

  1. Cheques in pounds (GBP) should be made out to UK Filk Convention.
  2. Contact us if you wish to make an electronic transfer.
  3. All registration data will be kept electronically and will only be shared with other British Filk Conventions.

Please send completed applications to:

Quarter Tone,
c/o 15, St. Catherine's Cross,
Bletchingley,
Surrey, RH1 4PX
U.K.