Mount Alford School of Arts Hall Membership Form

Membership Application Form
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Are you a member of other local groups or organisations, if so please list*
Would you be interested in helping out with any of the following and be on a roster?*

CleaningMowingVolunteering at events
Membership Badge Required

YesNo
Name wanted on Badge
Qualifications/Profession*
Interests/Hobbies*
Reason for Joining*
Preferred Communication Method*

EmailMail
Subscribe to Newsletter*

YesNo
Terms and Conditions:

By submitting this application, I agree to abide by the rules and regulations of Mount Alford School of Arts Inc., as well as the terms and conditions of membership outlined in the organisation's model rules. I acknowledge that an annual membership fee of $5 per person is due on the last Wednesday of October each year, and that membership is subject to approval by the management committee. Membership badges are $11, with a $5 subsidy from the hall, resulting in a total payable amount of $6
Signature*

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Date Signed*

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Membership Application Form