Friends of British Suzuki Membership Form

Friends of British Suzuki Membership Joining Form
Why become a Friend?

The Suzuki Method has brought music to millions of children around the world. None of this would be possible without the wonderful teachers who are able to nurture every child. By becoming a Friend, you can help train new teachers and ensure more children have access to music education.

What are the benefits?

As a Friend, you will be informed of our events and have your name listed on our programmes. You will be invited to special occasions where you will hear past and present pupils play. It's a wonderful way to stay involved in the Suzuki community, for those who have benefited from the Suzuki Method, or to meet and socialise with like-minded individuals who have a love of music. You will, of course, gain the everlasting gratitude of British Suzuki!
Friend's Name*

TitleFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Mobile Number*
Name of Joint Adult Friend, if applicable
There are two levels at which you can support the Friends on an annual basis:*

Silver - £40 per yearGold - £100 per year
Please indicate how you would like your name to appear on programmes, or if you would rather remain anonymous:*
Anything else to add?

Direct Debit Instruction
I wish to make a regular subscription to Friends of British Suzuki of:

£40 annually, commencing in approximately 1 month£100 annually, commencing in approximately 1 month
Your rolling annual subscription starts with first payment in approximately one month from receipt of this completed form, taken on either the 1st or 15th of the month.

Instruction to your Bank or Building Society to pay by Direct Debit
Service User Number 450352

EAZY COLLECT RE BRITISHSUZUKI INS, Unit C, QWest, 1110 Great West Road, Brentford, TW8 0GP
Name of Account Holder*

TitleFirst NameLast Name
Account Holder's Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Account Holder's Email*
Bank/Building Society Account number*
Banks and Building Societies may not accept Direct Debit Instructions for some type of accounts
Bank/Building Society Sort Code*
Checking the box indicates that I am the Bank/Building Society holder and no authority other than my own is required. If more than one person is required to authorise debits from the account, you are unable to setup a direct debit online.*

Yes

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.

Friends of British Suzuki Membership Joining Form