.. FRIENDS OF THE KENTON THEATRE

   Please PRINT, COMPLETE and RETURN the slip below, with your remittance to:-

   The Kenton Friends Membership Secretary

   Miss Sandra Moon

   Old Timbers,  Friday Street,

Henley-on-Thames

OXON RG9 1AN
__________________________________________________________________________

 APPLICATION FORM

Title ....................................................
Forename ...........................................

Surname ............................................

Address ......................................................................................................................
City .................................................... County ...............................................
Post Code ............................................
Telephone No ...................................... email .................................................

  Enclosed cheque for £10.00 for Annual Membership (plus hopefully a donation).

  (Cheques made payable to the Kenton Theatre)

Signed ............................................... Dated .................................................

 Please tick if interested in being an Active Friend