Application for Membership

Associate

Please complete the form below and print out the page.
Sign and date the printed copy
Proceed to Page 2 and either complete the form with your supporting information or alternatively send your CV
Proceed to the Standing Order form and complete the details as indicated and print two copies. Sign and date both copies.
Non-UK applicants should send a cheque or bank warrant for Ł20 or the equivalent in local currency (click here for the currency converter).
Send the Application form, Supporting information form or CV, and two copies of the standing order form or cheque to.

The Registrar,
The Academy of St. Cecilia,
Music Department,
Cathedral House,
Westminster Bridge Road
London, SE1 7HY
United Kingdon

First Names:
Family Name:
Title:
Address:
Home Telephone:
Work Telephone:
Fax:
Email:
Date of Birth

Name of first supporting Fellow
Name of second supporting Fellow
I wish to apply to the Chapter of The Academy of St. Cecilia for Associate Membership
Signature :
Date: