VISUAL ARTS
ASSOCIATION OF FAR NORTH QUEENSLAND INC. Cominos House 27 Greenslopes St. , Cairns Qld. 4870
-----------------------------------------------------------------
| VISUAL ARTS
ASSOCIATION OF FAR NORTH QUEENSLAND INC. Cominos House 27 Greenslopes St. , Cairns Qld. 4870 ----------------------------------------------------------------- |
| MEMBERSHIP APPLICATION FORM | Back to members
information |
The Secretary,
GROUP APPLICATION (Ordinary Membership)
Group Name -----------------------------------------------------------------------------------------------------------------------------------
Address -------------------------------------------------------------------------------------------------------------
Phone ----------------------------------- Email/Fax -------------------------------------
Number of
Delegates at $15 each (max 3)
Names of
Delegates
1.
---------------------------------------------------------2.--------------------------------------------------------
3.----------------------------------
Applicant
Signature------------------------------Date-------------
ASSOCIATE MEMBERSHIP $10
| CLUB | INDIVIDUAL |
| Name---------------------------------------- | Name -------------------------------------------------------------- |
| Address-------------------------------------- | Addresss---------------------------------------------------------- |
| ---------------------------------------------- | ----------------------------------------------------------------------- |
| Ph.------------------------Fax---------------------------------- | Ph.------------------------------Fax-------------------------------- |
Applicant______________________
Date______________________
