Patrons: David Hobson & Mayor, City of Ballarat Mission: “To encourage and develop, through strong community engagement, the aspirations and talents of emerging artists from all disciplines who have lived, worked or studied in Ballarat New Membership Membership fees due 1 July each year. Membership benefits will only be offered if membership fees are paid. Membership Benefits : Notification of forthcoming events Invitations to Award Presentations, Master Classes, Recitals, Exhibitions Complimentary copies of “Aspirations” Magazine and “Alere” Newsletter Voting rights at the Annual General Meeting Member Benefit Discount Card from leading businesses --------------------------------------------------------------------------- ------------------------------------------------------Please use this form to, renew your membership or make a donation to the Ballarat Arts Foundation Inc. (Donations over $2 are tax deductible, Membership fees are not tax deductible). Name: __________________________________________ Date: ________________________________ Address: _________________________________________ ________________________________________ Phone (please circle) Business /Residential __________________________________________________ Email: ________________________________________________ _____________________________________________ Membership Membership Business membership Family member (2) $60 Member / Associate To the Foundation $35 Concession: Pensioner / Senior / Student $20 Alumni Member $15 Additional Donation Nos Donation Total $100 (Please circle) TOTAL $ I would like to discuss a further contribution to the Arts Foundation I wish to receive information about future Ballarat Arts Foundation Inc. activities. By email By mail I do not wish to receive information about future Ballarat Arts Foundation Inc. activities. Please return this form, together with your payment, to: Ballarat Arts Foundation. Inc., P.O. Box 749, Ballarat 3353 # Cheques and Money Orders to be made payable to: BALLARAT ARTS FOUNDATION INC. (Incorporation Number A0023431F) PRIVACY STATEMENT: Our Privacy Policy is available from the Executive Secretary at our postal address or on the website at: www.ballaratartsfoundation.org.au OFFICE USE ONLY Received: ___/___/____ Recorded: ___/___/____ Acknowledged: ___/___/____ Ballarat Arts Foundation Membership Renewal Form