|
I wish to join BLU
FM as
(please tick one):
[ ] ASSOCIATE
MEMBER (no presenting
rights) $22PA
[ ] INDIVIDUAL MEMBER
$38.50PA
[ ] INDIVIDUAL CONCESSION
$27.50PA
[ ] FAMILY MEMBERSHIP $55PA
[ ]
(PO2) FAMILY CONCESSION $44PA
[ ] SUSTAINING MEMBER
$66PA
[ ] ORGANISATION $55PA
[ ] LIFE
GOVERNOR $1100 (please contact us for details of instalment
payments)
Note: All above fees include 10% GST
NAME.................................................................................................................
ADDRESS...........................................................................................................
PHONE.......................................................................................................
EMAIL ………………………………………………………………………
DATE
....................................................
PENSION NO
.................................................... (if
applicable)
SCHOOL ………………………………………………………………. (if
applicable)
AGE ………………… (if under 18)
I ENCLOSE $
...................................
I agree to abide by the Society’s Constitution, Bylaws
and decisions of the Management Committee.
SIGNATURE
...................................................................................
Please tick where appropriate:
[ ]
Yes, I am interested in coming in to see BLU FM in action.
[
] Yes, I am interested in training to do a program on
BLU FM.
[ ] Yes, I am interested in volunteering to assist
BLU FM.
Please post payment to:
The Treasurer,
BLU
FM 89.1
PO
Box 64
Katoomba
NSW, 2780
NOTE: PLEASE DO NOT SEND CASH
IN THE POST
PLEASE MAKE CHEQUES PAYABLE TO:
'BLUE MOUNTAINS PUBLIC
BROADCASTING SOCIETY'
|