Membership Application / Renewal
To apply for membership please complete all questions.
Name
*
First Name
Family Name
Address
Street Address
Street Address Line 2
Town
State
Post Code
E-mail
*
example@example.com
Mobile Number
*
Landline Number
Working with Children
Please note: if you are working in a production with persons aged under 18, and are 18 or more, you must have a current Working with Children Check, which if free for volunteers. (apply online at https://www.kidsguardian.nsw.gov.au and complete before submitting this form )
WWC Number
Expiry Date of WWC
Date of Application
*
-
Day
-
Month
Year
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To pay for membership: BSB 882000 Account No.9041134 Name: Bathurst Theatre Company
Please ensure that you include your name and membership type
Membership Types
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next
( X )
Adult Membership
In part / fulltime employment
$
20
Concessional Membership
Student / Senior / Not in Paid work
$
10
Family Membership
(Adults and children living in same household)
$
30
Apply for Membership
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