Patrons’ Programme Application

Single or couple*
Please select the type of Patronage required:
- Platinum Couple - minimum £500
- Platinum Single - minimum £300
- Gold Couple - minimum £250
- Gold Single - minimum £150
- Silver Couple - minimum £175
- Silver Single - minimum £100
Name*
Prefix First Last
Name of partner
Second person if you require a couple package
Prefix First Last
Address*
Please include postcode
Phone
Email*
Anonymity request*
Would you like to have your name acknowledged in Stockbridge Music publicity material?
- Yes please show my/our name
- No please don't show my/our name
Mailing list consent
I / we consent to joining the SM mailing lists (electronic and postal) and would like to hear about SM music news and events in the local community.
- yes

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