Membership Form

Please ensure you have read the Terms of Membership before completing this form

"*" indicates required fields

Name*

First Last

Email*

Enter Email Confirm Email

Mobile Phone*

Phone (in case of emergency)*

Date of Birth*

Occupation*

Address*

Street Address Address Line 2 City County Postcode

Membership Type*

Upload Documentation*

Drop files here or

Max. file size: 128 MB.

INFORMATION

Please upload a screenshot or documents showing concession eligibility.

Standard documents

Carers allowance
Proof via council letterhead (less than £95pw earnings)
Signed agreement on council letterhead from council leisure department
Housing Benefit
Current Housing Benefit entitlement letter
Income Support
Giro Cheque
Current entitlement letter
Bank statement showing payment
Job Seekers Allowance
JSA card
Current entitlement letter

Disabled
Current entitlement letter
Freedom Pass

Full Time Student – Further Education(15+ hours p/w)
Current enrolment letter or NUS card
Or letter from College or University

Working Families Tax Credit (eligibility threshold is annual household earnings of £16,000 or less) Letter from Inland Revenue, with a breakdown of benefit received.

Payment Frequency*

Consent*

I hereby agree for my details to be submitted and processed as a full membership application to Reggae Choir and agree to abide by the Terms of Membership at all times.

Signature*

Date*

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