Conquest Theatre membership form

The Conquest Theatre Trust Ltd membership registration

Complete the form below to sign up for our membership.
Name*

TitleFirst NameLast Name
If joint membership

TitleFirst NameLast Name
Address*

Street Address

Street Address Line 2

CityCounty

Post codeCountry
E-mail*
Phone Number*
Please enter a valid phone number.Format: 00000 000000.
Actor £45Full membership £30
Actor £22.50Full membership £15
Please note, these memberships are only available to anyone 18 years of age or older. Anyone under 18 should visit our website for information on the youth theatre.
Gift Aid Declaration

Donating through Gift Aid means we can claim an extra 25p per £1 at no extra cost to you.
I want to Gift Aid my donation and any donations I make in the future or have made in the past four years to Conquest Theatre Trust Ltd. I am a UK taxpayer and understand if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.
Once you submit your application, you will be redirected to GoCardless to sign up for a Direct Debit. We will then be in touch with more information in seven working days.

Thank you! We appreciate your support.

For all membership queries, please email membership@conquest-theatre.co.uk
The Conquest Theatre Trust Ltd is a registered charity: no. 511000
Please verify that you are human*
Should be Empty:

The Conquest Theatre Trust Ltd membership registration