Membership Form

Your Name (required)

Your Email (required)

Your Postal Address

Home Phone Number

Mobile Phone Number

Membership Type—Please choose an option—General (Single): $50.00General (Double): $65.00Superannuitant (Single): $40.00Superannuitant (Double): $50.00Student: $25.00

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.