British Suzuki Membership Form

BSMA Membership Form

Please note we only accept payment by Direct Debit and it may take up to one month for your membership to be processed. Your membership will run annually from the date of your first payment, which is currently £45 per family. The current rates can be found on the British Suzuki website. Please download the PDF after submission for your copy of the Direct Debit guarantee.
Please choose one:*

New MemberRejoining
Previous Membership Number (if known)
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone number*
Email*
example@example.com
Suzuki Group Name (if applicable)
Child 1 Name*
Child 1 DOB*
Sex Child 1*
Child 1 Instrument 1*
Child 1 Teacher 1*
Child 1 Instrument 2
Child 1 Teacher 2
Child 2 Name
Child 2 DOB
Sex Child 2
Child 2 Instrument 1
Child 2 Teacher 1
Child 2 Instrument 2
Child 2 Teacher 2
Date of first lesson
Please be aware that videos and cameras may be in action at events and lessons. Photographic and video images of your child or children, taken at lessons, events and courses, may be used by the BSMA for training and publicity purposes. Please contact the office if you have any queries regarding the use of images.

Direct Debit Instruction

Payment will be taken on the 1st or 15th of the month, depending on the date of joining.
Title*
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number
Name of Account Holder*
Bank Account Number (8 digits)*
Sort code (6 digits)*
Signature*

Clear
Date*

DayMonthYear
Date
The Direct Debit Guarantee

This guarantee is offered by all Banks and Building Societies that accept instructions to pay Direct Debits.
- If there are any changes to the amount, date or frequency of your Direct Debit, Eazy Collect Re BritishSuzuki Institute will notify you 10 days in advance of your account being debited or as otherwise agreed. If you request Eazy Collect Re BritishSuzuki Institute to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
- If an error is made in the payment of your Direct Debit by either Eazy Collect Re BritishSuzuki Institute or your Bank or Building Society, you are entitled to a full and immediate refund of the amount paid from your Bank or Building Society. If you receive a refund you are not entitled to, you must pay it back when Eazy Collect Re BritishSuzuki Institute asks you to.
- You can cancel your Direct Debit at any time simply by contacting your Bank or Building Society. Written confirmation may be required. Please also notify us.
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BSMA Membership Form