Art Space Urunga Membership Form 2022

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Art Space Urunga Membership Form 2022 - 2023

Given name *

Surname *

Telephone *

Email *

Other people on Membership

Total Membership *

1 General Membership $40

1 Concession Membership $30

2 General Memberships $80

2 Concession Memberships $60

Other:

Payment Options

Directly at the gallery by cash/cheque/card
OR Bank Transfer:
BCU The Art Space Urunga Inc.
BSB 533 000
Account No. 10652435
(Please include your name as a reference in your bank transfer description)
PLEASE NOTE: TAX RECEIPTS ARE AVAILABLE ON REQUEST

Would you like to volunteer to supervise the gallery during exhibitions?

Yes

Other:

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