----------------   EYOA Membership Form   ----------------


Name:


Address:


Telephone / fax numbers:

Email address:

Instrument(s):


Which units of EYO did you play in, and when?





I give permission for EYOA to hold this information about me in accordance
with the Data Protection Act.

(Delete the next sentence if you do not wish to give permission)
I give permission for my name and address to be given to other EYOA
members on request.

Signed:




Please send this form to:
Tom Yates, EYOA Secretary, 1 Sedgwick St., CAMBRIDGE, CB1 3AJ.