MEMBERSHIP FORM

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MEMBERSHIP RENEWAL IS DUE EACH OCTOBER.

CONTACT DETAILS

Name:

Street Address:

Suburb: State: Postcode:

Contact Phone: Email:

May we use your email address for future correspondence? Yes No

MEMBERSHIP CATEGORIES

I would like to apply for the following membership category:-
Full Membership - $50.00
Full Membership (Concession) - $30.00
Associate Membership - $20.00

Please supply concession details e.g. student/health card holder....

PAYMENT DETAILS

Please make cheques payable to Warringah Printmakers Studio and send with this membership form to:-
The Treasurer, Warringah Printmakers Studio, 48/343 Condamine Street, MANLY VALE NSW 2093

I hereby apply to become a member of Warringah Printmakers Studio and agree to abide by the rules & guidelines as set by the Management Committee.

Applicant's Signature: Date:

Committee Initial: Date: Receipt No:

All information given by the membership applicant is respected & will be used only for the purposes of Studio administration & correspondence concerning classes, exhibitions, artists’ opportunities & workshops.