Northampton and District Organists' Association
    
Application for Membership

I apply for membership of the Northampton and District Organists' Association

and enclose my subscription of: Please Select £7.00 £14.00 £21.00  

Please add an additional £6 (to cover p&p) if you wish to receive hard copies of the NDOA quarterly newsletters. (All members can be emailed a copy as part of their membership.)

Name of Applicant: .............................................................................

Type of membership: Please Select Ordinary Family Student  

Which method are you using to pay ?  Please Select Cheque Internet Bank Transfer

Address:.......................................................................

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Postcode: ..............................

Telephone Number: ....................................................

Email Address: ..........................................................

Qualifications (if any): ..........................................................................

Present Appointment (if any): ................................................................

Signature: ...........................................................

Date: .........../.............../.................

If paying by Internet bank transfer, please use the following details:

Account Name: Northampton & District Organists' Association
Bank: Nat West
Sort Code: 56 00 60
Account No.: 05476240

Please send this application form to:

Mrs Helen Murphy
Hon. Secretary
N. & D. O. A.
23 Hawthorne Road
Finedon
Northamptonshire
NN9 5DR