New Membership Form 2015-2016

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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
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