Arts Council Nelson Membership Application Form

 Please print and post this membership form to: Membership, Arts Council Nelson, PO Box 566, Nelson

OR

Drop in to Arts Council Nelson, 203 Trafalgar Street, Nelson

 

Name:

---

Postal Address:

---

Phone and email:

---

 I am joining as: Please circle

X     Single ($25)

X     Joint / Family ($40)

X     Student /  Community Services 
       Card Holder ($15)


I would like to receive Please circle:

X     The weekly Arts Diary

X     The monthly Arts Calendar

X     Updates of other ACN news items

X     I am available to discuss doing
       voluntary work for ACN.

X     I enclose my annual membership 
       subscription of $25.

X     Receipt required.

In order to minimise costs ACN will forward this information by email unless unavailable.

membership form updated August 2006