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APPLICATION FOR BSMT MEMBERSHIP - please print this form, complete it and send it to the BSMT Office by email, fax or post. The Membership fee includes subscription to the BRITISH JOURNAL OF MUSIC THERAPY (two issues per year), and the BSMT NEWSLETTER (two issues per year).
I/we wish to apply for membership/student membership/corporate membership of the BRITISH SOCIETY FOR MUSIC THERAPY, and enclose remittance of £................... (Payment can also be made by credit card, but an additional £2 must be added for Card Charges - see below) Signature: ................................................................................................ Date: ........................................................................................................ NAME: Mr/Mrs/Ms/Miss .......................................................................... ADDRESS: .............................................................................................. ................................................................................................................. ...........................................................POSTCODE ................................... TELEPHONE & EMAIL: ............................................................................. PROFESSION: ........................................................................................ If applying for student membership please give details of your Course and College: .................................................................................................................... Please note the financial year commences on the 1st October of each year. Members will receive all publications for their year of membership whenever they join, except for those joining in July/August/September whose membership will run for the whole of the following year. Receipt sent only on request. Cheques should be made payable to BSMT. Card payments can be made. Please indicate which card: American Express, Maestro, Mastercard, Visa, Eurocard, Delta If Maestro (previously Switch) give issue number ____ Card No. ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... Name on Card: ........................................................................................... Date of Expiry: ........................................................................................... Card Security No. ....................................................................................... This is the last 3 digits of the number printed on the signature strip on the back of the card. If Card is registered at a different address from above, please give Card address including house number and postcode. ......................................................................................................................................................................... The Card Security No, Post Code and house number are all required under new anti-fraud regulations when processing card transactions. Please complete and send this application to: BSMT Administrator, 24-27 White Lion Street, London, N1 9PD, UK. or Email to info@bsmt.org Using Gift Aid means that for every pound you give, we get an extra 28p. from the Inland Revenue, helping your donation to go further. This means that £40 can be turned into over £50 just so long as donations are made through Gift Aid. Imagine what a difference that could make to the BSMT, and it doesnt cost you a thing. I want all donations/membership fees in the future to be Gift Aid until I notify you otherwise. Please sign here To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount we will claim in the tax year (currently 28p. for every £1 donated).
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