CAA Membership Form
| APPLICATION FOR MEMBERSHIP
of Wyndham Community Arts Alliance Inc Please Send to TREASURER/MEMBERSHIP OFFICER Tess Leckie P O Box 756 Werribee 3030 Phone: 8360 9049 Mobile: 0400744100, Email:caawyndham@bigpond.com I :----------------------------------------------------------------------------------------------- (Full name of applicant) Of :---------------------------------------------------------------------------------------------- (Home address and postal address if applicable) E-mail address: Telephone: Mobile Phone: I would Like to become a member of Wyndham Community Arts Alliance Inc. Please circle the category of your art: 2D 3D Performing Writing Creative In the event of my admission as a member, I agree to be bound by the rules of the Association currently effective. ---------------------------------------------- (Signature of Applicant) (Date) _________________________________________________ Wyndham Community Arts Alliance Incorporated (Hereafter shown as CAA, Inc) I (PRINT NAME:)_______________________________a member of CAA Inc nominate the applicant, known to me, for membership of CAA Inc. (Signature of Proposer) (Date) I (PRINT NAME:)________________________________a member of CAA Inc, second the nomination of the applicant, who is personally known to me, for membership of CAA Inc. (Signature of Seconder) (Date) APPLICABLE FOR FIRST YEAR ONLY Membership fee is $50.00 (Includes $10.00 Joining Fee) Junior Membership (18yrs & Under)is $30.00, (Includes $10.00 Joining Fee) Additional Family Membership is $15.00 (Includes $10.00 Joining Fee) Organization Subscription is $80.00, (Includes $10.00 Joining Fee) TOTAL AMOUNT………………………………… Office use only Date received: --------------------- Data recorded: ------------------------ Member Number: -------------- Email This Page |
|
|
||
 |
This Webpage has been created using the my connected community (mc2) Webpage generator. my connected community (mc2) is funded by the Victorian Government and coordinated by Vicnet
|