BAF Membership Form

Mission: To encourage and develop, through strong community engagement, the aspirations and talents of emerging artists from all disciplines who have lived, worked or studied in Ballarat.

Patrons: David Hobson, Fiona Sweet & Mayor, City of Ballarat
BAF Membership Form

Membership Fees are due on 1 July each year.
Membership Benefits:
- Notification of and advance invitations to forthcoming events
- Complimentary copeis of 'Aspirations' Magazine, and other BAF Documentation
- Voting rights at the Annual General Meeting (usually the 1st Tuesday of October)
Name*

First NameLast Name
RenewalNew Member
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Contact Number
Billing Address

Use the address above.I want to specify a different billing address.
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Further Involvement

I would like to discuss a further financial contribution to BAFI would like to discuss volunteer opportunities or committee positions with BAF
Newsletter

Please subscribe me to the BAF newsletter mailing list
Payment Method*

Credit CardDirect TransferCheque
For Credit Card Payment
Please complete the online payment below.
For Direct Deposit
Enter coupon code "DTC" in the coupon field below and submit the form, then make your payment to BAF Operating Fund. BSB 633 000, Account 133 257 378
For Cheque
Enter coupon code "DTC" in the coupon field below and submit the form, then make your cheque out to Ballarat Arts Foundation Inc and post to PO Box 749, Ballarat 3353

Choose Membership Type*

MemberIndividual Associate to BAF

$35.00AUD Quantity

Alumni MemberIndividual Alumni of BAF Grant or Mentoring Programs

$15.00AUD

Concession MemberIndividual with Pensioner, Senior or Student concession

$20.00AUD Quantity

Family Membership2 Adults and dependents

$60.00AUD Quantity

Business MembershipOrganisational Membership

$100.00AUD

Enter coupon

Total

$0.00AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Donations

To make a donation in addition to your membership fee,
please go to our online portal Give Now.
Date of Signature*

MonthDayYear
Date
Signature*

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Our Privacy Policy is available by request at the postal address or email at ea@ballaratartsfoundation.org.au
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