Victoria Gilbert and Sullivan Society Membership Application Form www.gilbertandsulllivanvictoria.ca Please complete this application form, enclose your cheque for membership fees and mail to: Victoria Gilbert & Sullivan Society PO Box 42057 2200 Oak Bay Avenue, Victoria, B.C. V8R 6T4 Date Name Mailing Address Email Address Phone # Annual Fees: Day: Single $40.00 Evening: Family $60 Cell: Student $20 (Please note: only one vote per membership is eligible, in accordance with the Society’s Act) For Family memberships, please list names of all participating family members: As we are a not-for-profit society, our success relies strongly on our members’ active involvement. We welcome singers and non-singers - people who enjoy musical theatre and working together to produce high quality entertainment on Vancouver Island. Please tell us about yourself: Are you or have you ever been a member of Equity? Yes/No For insurance purposes: are you 75 or over? Yes/No May we publish photos of you that may be taken during rehearsals/performances? Yes/No Would you like to perform? Yes/No Voice: Soprano Mezzo Alto Tenor Baritone Bass And… where would you like to volunteer? Archives Backstage help Book-keeping Communications Costumes Event Planning Fundraising Make-up, Hairstyling Marketing Photography Props Publicity Set construction W ebsite Other … please describe For Society use only: Date Amount received $_ Rec’d by Cash Cheque Member card issued Donation Receipt# Entered db Email distribution list