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(Incorporated in Bermuda)

"Daylesford", Corner of Dundonald & Washington Streets, Hamilton
P.O. Box DV 631, Devonshire DV BX, Bermuda
Box Office: (441) 292-0848, Bar: (441) 295-5584

APPLICATION FOR MEMBERSHIP

N.B. To quote the Society's constitution:
"Applications for membership shall be proposed and seconded by members of the Society in writing, and accompanied by the appropriate subscription, and applicants may be elected at the discretion of the
Executive Committee." -

A. Name
Home Phone: Email:
Work Phone: Fax:
Date of Birth (if under 18)
Mailing Address
B. JOINT MEMBER ONLY
Name
Home Phone: Email:
Work Phone: Fax:
Date of Birth (if under 18)
Mailing Address

Please indicate in what aspects of our activities you are interested.

A. B. A. B.
Accounting Properties
Acting Production managament
Backstage assistance Publicity
Bartending - Daylesford Transport (sets, etc.)
Box Office Play reading
Choral singing Programme design
Choreography Set construction
Costume Design Set design
Dancing Singing (Musicals)
Directing Scenery painting
Food - Daylesford Secretarial
General Assistance Sound
House Management Stage management
Lighting Ushering
Make-up Wardrobe - sewing
Musical Instrument Newspaper
Playwriting Any other

SUBSCRIPTIONS: (Circle whichever one is applicable)
The membership year is from 1st September until the 31st August the following year.

Junior Members (under 18) $15.00
Single Members $70.00
Double Members $120.00
Overseas Members $20.00
Senior Singles $30.00
Senior Doubles $60.00
Single Patrons $210.00
Double Patrons $300.00

NB: Subscription MUST accompany form. Cheques payable to "B.M.D. Society". Applications made after 1st June will be carried over to the next financial year.

Signature

Date
Proposer: Name

Signature

Please state length of time that you have known the applicant: (Days/Months/Years)
Seconder: Name

Signature

Please state length of time that you have known the applicant: (Days/Months/Years)

Please send this form with your remittance to:

Membership Secretary
Bermuda Musical and Dramatic Society
P.O. Box DV 631
Devonshire DV BX
Bermuda