Membership Application Form
Membership fees are as follows: Full member £30, Student member £10, Associate member £10

As we are not able to process payment on line at present, please submit this form and then post payment
(including your name and address) within 7 days to:
The Administrator, Jon Petrie, 4 The Vineyard,
Monmouth, Monmouthshire, NP25 3PU (tel 012 1288688)

I wish to apply for membership of Cyfansoddwyr Cymru/Composers of Wales.

 

*Full name:

*Address:

*Postcode:

Tel/fax:

E-mail:

Website:

Current professional employment:
(including Retired if applicable)

In which genres do you work?

Are you a member of the PRS?

   

Please tell us about your significant commissions, performances, or collaborations in recent years

Would you wish to receive information which we may have from time to time about forthcoming events, competitions, or opportunities?

   

I wish to join as a:

Please note that our database is data-protected: your details will not be passed on to anyone without your permission.
However, if you are willing for your contact details to be passed on to bona fide professional enquirers, please indicate below.

Your sphere of professional work?

   

Your postal address?

   

Your telephone number?

   

Your e-mail address?

     

Your website?

     

If you do not wish to join just yet, would you like to be kept informed of developments?

     

* Fields marked in red must be answered.

If you have any questions about this form, please click here to contact Composers of Wales