Application for Membership

Corporate

Please complete the form below and print out the page.
Sign and date the printed copy
Send a cheque or bank warrant for Ł50 or the equivalent in local currency (click here for the currency converter).
Send the Application form and cheque to.

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

Church
School:
College:
Other: - Please Specify
Organisation Name:
Address:

Representative Name:
Address: (if different from above)
Home Telephone:
Work Telephone:
Fax:
Email:
On behalf of the organisation names above, I wish to apply to the Chapter of The Academy of St. Cecilia for Corporate Membership
Signature :
Date:

Please print this page, sign and date and send to the Registrar with a cheque for Ł50.