Please print out this page and send it to

The RBMT Treasurer, Viv Edwards
118 Arundel Avenue
South Croydon
CR2 8BH

Friends of the Robert Bouffler Music Trust
I would like to become (or remain) a Friend of the Robert Bouffler Music Trust.
Name Phone
Address
e-mail



I enclose a cheque for £15, made payable to The Robert Bouffler Music Trust.

This comprises £1 membership and £14 voluntary donation. I understand that I need not make such a donation and that this will be regarded by the Trust as a Gift Aid donation. I confirm that I pay basic rate taxation on income of at least £14.

Signed Date

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