2025 Associate Members Application Form

APPLICATION FORM

2025 Associate Membership
(1 January - 31 December 2025)

Salamanca Arts Centre
Please note: This online form must be completed in one session.
1. Applicant Details
Full Name of Applicant*

First NameLast Name
Phone Number*
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState

Postcode
Country*
2. Are you applying for Associate Membership for the first time?*

NEW Associate MemberRENEWING Associate Member
If you are a RENEWING Member, please indicate which year/s you have held Associate Membership (if known)
3. Select Associate Membership TYPE*

Concession / Senior / Student* ($16.50 annually)All other individuals ($43.00 annually)
*for Concession / Senior / Students please upload supporting documentation

UPLOAD a File
examples : Concession Card / Seniors Card / Student Card Cancelof
4.1 Reason for joining (please select ALL that apply)*

General Interest in the ArtsNetworkingTo attend more arts eventsTo support Salamanca Arts CentreTo be eligible to exhibit in SAC's 2025 Access Gallery Program (Sidespace Gallery + Top Gallery + Lightbox)Other
4.2 How did you hear about Salamanca Arts Centre? (please select ALL that apply)*

SAC WebsiteSAC enewsSAC's Alert Me Online FormfacebookinstagramArtsHubWord of MouthOther
All Applications will be submitted to the Salamanca Arts Centre Board for Ratification at their next Board Meeting. After Ratification, successful applicants will be issued with an Invoice for Annual Membership Fees. Associate Membership is valid once Annual Membership Fees have been paid in full.*

I understand the above Application Process and confirm that all information provided above is true and correct
Signature*

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to submit your Application for 2025 SAC Associate Membership.
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1. Applicant Details