| INDIVIDUAL MEMBER RECRUITMENT FORM (BLOCK CAPITALS PLEASE) | |
| I hereby confirm that | |
| who has applied for Individual/Joint Membership of the National Operatic and Dramatic Association, is a member of this society and I wish to claim £1 towards future purchases from NODA Limited. | |
| NAME: | |
| POSITION: | |
| SOCIETY: | |
| TEL: | |
| EMAIL: | |