MEMBERSHIP/RENEWAL APPLICATION
Please complete a separate application/renewal form for each applicant for the current financial year.

* indicates required fields 
  *TITLE:
  *NAME:
  *ADDRESS:
  *CONTACT NUMBERS:
  *EMAIL ADDRESS:
  WEBSITE:
  PREFERRED ACTIVITIES:
  *FEES:  $30 full adult rate
 $45 family rate
 $10 (under 18 - unless included in family)
 $15 - application lodged from 1 January
 $22.50 family application lodged from 1 January
 $5 under 18 years of age for application lodged from 1 January
  NAMES OF OTHER FAMILY MEMBERS (if applicable):
  *TYPE OF APPLICATION:  Renewal
 New membership
  WEBSITE LINK:  I would like to have my website listed on www.kiamaart.org.au
 I do not wish to link my website
  *PAYMENT TYPE:  Cheque
 Direct Deposit
  DATE OF COMMENCEMENT OF MEMBERSHIP (Year & Month):
  OFFICE USE ONLY:

In making this application I agree to abide by the Constitution of the society.

I understand that members of the society are encouraged to assist with exhibitions and other activities in which they are involved.

Please click submit after completing the  form, or print and forward  with your cheque payable to the Kiama Art Society to:

The Honorary Secretary
Kiama Art Society
PO Box 707 Kiama NSW 2533

or by direct deposit to:

Kiama Art Society General A/c: BSB 032-689; A/c No. 540-168
Please ensure you include your name in the reference section

Enquires to info@kiamart.org.au
 
 
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