APPLICATION FOR MEMBERSHIP

Hutt Art ,Society, 9-11 Myrtle Street LOWER HUTT

 

I wish to apply for membership to the Hutt Art Society

Mr/Mrs/Miss/Ms 

First Name ________________Surname__________________

 

Address____________________________________________

 

___________________________________________________

 

Telephone____________Email__________________________

 

Interest (eg Pottery)___________________________________

 

I agree to abide by the Rules of the Hutt Art Society (Inc)

A copy of the constitution is held by the secretary

 

I agree to my name and contact details being made

available to other members of the Hutt Art Society. 

The Privacy Act 1994 requires that a statement to this effect be signed by

all members.  It is  the policy of the Society not to release information on

any member to an outside organisation or individual without first gaining

the permission of the member.

 

Signed___________________________Date_________________

 

Proposer_______________________________

or Convenor/Tutor

I enclose payment of $________ for my subscription as

Adult/Family/Group/Junior (cross out which does not apply)

 

PLEASE COMPLETE ALL OF THE ABOVE BEFORE FORWARDING TO

THE SECRETARY

 

Annual fee $100 or $55 twice yearly  1 January to 31 December

Family Membership $145   Group Membership  $200

 

A Membership/Car Permit Card will be issued on receipt of your annual sub.

This should be displayed on the dashboard of your car at all times you are

parked in the reserved car park

                                                    Receipt No __________________