Membership Form

Your Name (required)

Your Email (required)

Your Postal Address

Home Phone Number

Mobile Phone Number

Membership Type---General (Single): $35.00General (Double): $50.00Superannuitant (Single): $25.00Superannuitant (Double): $35.00Student: $20.00Corporate (Business): $200.00Corporate (Silver): $500.00Corporate (Gold): $1000.00

Interests
PaintingPotterySculptureFabric/FibreArchitecturePrintmakingFloral ArtDesignGlassAll art & "what's on"

On completion of this form you will be sent an acknowledgment email which will contain our bank account details for payment via direct credit or cheque.