Membership application or yearly renewal for 2008

Print out this page, fill in (or click here for an rtf version to download, and type in your details), then post the completed form, with your cheque, to:
The Treasurer, Recorder and Early Music Society of West Australia Inc, PO Box 879 CLAREMONT WA  6910

Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Postcode _ _ _ _ _ _ _

Phone/Fax/email _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

I/we apply for membership/renewal of membership of the Society. I/we agree, that being a member, I/we agree to be bound by the rules of the association from the time being in force.

Signature(s) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _     Date _ _ _ _ _ _ _

Subscription (for Jan-Dec 2008) amount enclosed:
(Please circle relevant amounts)

Instruments played and/or voice and register _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

Standard (beginner, low intermediate, intermediate, high intermediate, advanced) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

My/our interests: (please tick relevant items)

• Afternoon workshops
• Evening soirée or similar
• Annual music camps
• Playing in a group
• Other events or activities that interest me: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

I DO NOT wish my/our name(s) to be put on the Society's contact list for playing in groups. (Please cross out 'DO NOT' if you do not object to being contacted by other members for possible playing in a group).