MEMBERSHIP APPLICATION/RENEWAL FORM MEMBERSHIP APPLICATION/RENEWAL FORM Membership valid for 12 months - January to December (Pro-rata 1st year for those joining during a year i.e. June – Dec ½ the fee) If you are human, leave this field blank. MEMBERSHIP TYPE: * New Membership Renewal Membership number if renewal Date of renewal * MEMBER DETAILS: (New members please complete all areas, renewing members, please update any changes) Prefix * First Name: Surname * Postal Address * City * State * QLD NSW VIC WA SA NT ACT Postcode * Email Address * Age Under 18 18 - 26 27 - 35 36 - 50 51 - 65 Over 65 End Section MEMBERSHIP OPTION: * Individual $15.00 Family $20.00 Associate $25.00 Art By The Boardwalk 1st for year Family Membership covers two adults and up to three school aged children. Associate Membership is for businesses and organisations and allows one vote at AGMs. Art By The Boardwalk 1st for year covers membership. All further ABTB payments are for exhibiting. Please ALSO complete below if you are applying/renewing as a Family Member. Please add name of each extra family member below. Family Member 2 Family Member 3 Family Member 4 Family Member 5 End Section Please ALSO complete below if you are applying/renewing as an Associate Member Business/Organisation Name: Website: End Section ARTFORM/S: All members to complete this area. Checkboxes * Visual Arts Theatre Music Craft Dance Writing Film OtherOther End Section VOLUNTEERING: Interested in volunteering for RedArts? What skills/experience can you offer? End Section Payment by Cheque or Bank Transfer to account of: Redlands Arts Council Bank: Bank of QLD BSB: 124-001 Account No: 22485310 Please include name/organisation as reference on bank transfer.