Patrons Application Form
   

 

NAME(S):    __________________________________ 

 

ADDRESS:  ___________________________________

 

                   ___________________________________

 

E-MAIL       ___________________________________

 

 

 

How would you like to receive your newsletter (please circle) 

E-Mail / Post

 

 

 

 

 

 

 

 

 

Please return this form with your payment to any band member or to : Jamie Butterworth, c/o Wardle High School, Birch Road, Wardle, Rochdale OL12 9RD 

 

Please pay by cash or cheque - cheques are payable to WBBA