Membership Application

I would like to become a member of The Hurstpierpoint Players

Name: *
A value is required.

Email: *
A value is required.

Address 1:

Address 2:

Post Town:

County:

Post Code:

Telephone: Mobile

* Required information

The current annual subscription rates for the year ending 30th April, 2010 are:
Tick which you require
Full Membership - £15
Family Membership (Two Adults and children) - £30
Student Membership - £6
Friend of the Hurst Players - £6

If you are applying for Student Membership
please give your date of birth:
D M Y

Print out this form and send, together with a cheque, for your subscription, made payable to Hurstpierpoint Players, to:
Bob Sampson, Membership Secretary,
17 The Chestnuts, Sayers Common, Hassocks, West Sussex BN6 9XJ.

Once we have processed your application you will receive a newsletter with details of our forthcoming productions and social events.