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Application Form

To apply for membership simply complete the application form below.

As this form is not secure you may also order your membership simply by calling 01702 351135.

Type of Membership Required

First Name

Surname

Address Line 1

Address Line 2

City

Postcode

Telephone Number

Email Address

I understand that every effort will be made to provide me with advanced booking facilities, but acknowledge that due to contractual obligations there are occasions whent he theatre is unable to guarantee advanced booking for some shows.

I also understand that any unauthorised re-sale of tickets purchased through the membership schemes may result in membership being cancelled.

I acknowledge that my membership will expire on 31/12/10.

Please tick to agree to the conditions

Card Type

Credit Card Number

Start Date

Expiry Date

If applicable

Issue Number

Security Code

Please type in the code shown below:

* = required