Patrons’ Programme Application Level of Patronage*Please select the level of Patronage required:SingleCoupleName* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Address*Please include postcodePhoneEmail* Anonymity request*Would you like to have your name acknowledged in Stockbridge Music publicity material?Yes please show my/our nameNo please don't show my/our nameMailing list consentI / 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