Membership Application Form (Please print off this page).

Name..........................................................................................................

Address......................................................................................................

.........................................................................Postcode............................

Telephone(optional)...................................................................................

E-mail.........................................................................................................

I wish to become a member of the Furness Theatre Organ Project
and enclose an initial membership subscription of £10.

I would also like to give a donation of.......................(optional)

I would like to offer practical help (optional)

................................................................................................................

Signed...........................................................

Date..............................................................

Please print off this form and send together with a cheque payable to:

'Furness Theatre Organ Project' to:

Thyme Cottage, 110 Market Street, Dalton-in-Furness, Cumbria. LA15 8RE

Or contact opendyapason@btinternet.com

A newsletter is sent out to members twice yearly.