| Your full name: | ________________________________________________________________ |
| Second name (if Joint Membership): | ________________________________________________________________ |
| Street address: | ________________________________________________________________ |
| City: | ________________________________________________________________ |
| County/State: | ________________________________________________________________ |
| Postal Code/Country: | ________________________________________________________________ |
| E-mail address: | ________________________________________________________________ |
| Telephone number: | ________________________________________________________________ |
| Former membership number (if any): | ________________________________________________________________ |
Membership Types (tick type required)
|
|
Friend - £10 |
|
|
Young member/Student - £5 (For young people aged between 16 - 25 or Bona Fide students with student card ) |
| FRIENDS ARE ADMITTED TO SHOWS FOR £10; YOUNG/STUDENT MEMBERS PAY £5 | |
| FRIENDS' GUESTS ARE ADMITTED TO SHOWS FOR £12: (ADULTS), £10 (SENIORS) OR £5 (YOUNG PERSONS/STUDENTS) | |
Please make your cheque payable to: The Players' Theatre Club, and return this form with your payment to:
Bill Halson
12 Bentinck Mansions
Bentinck Street
London W1U 2ER
Bill will acknowledge your application and send your membership card by return post.