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Tasmanian Regional Arts
Kentish Branch
Membership Application - Joining Date/Year ________
Type of Membership
Renewal New Membership Joining after June 30th (Half Price)
(Concession - $16) ( Single - $20) (Family - $40) (Under 25 Free)
Mr, Mrs, Miss, Ms. First Name _______________ Surname __________________________
Name Relationship
Additional Names (Family Memberships only) ______________________________________
______________________________________
______________________________________
Street Address _____________________________ Town _______________ Postcode ______
Postal Address _____________________________ Town _______________ Postcode ______
Telephone __________________________ Mobile ___________________________________
Email Address ___________________________Web Address__________________________
Area of Interest
Painting Pottery Woodwork Photography Textiles Sculpture Drawing Metalwork Other Performing Arts Literature ____________________
Volunteering
As a community based organization our continued operation relies largely on volunteers. There are a number of ways by which members can contribute to make our venture a success i.e. maintenance, cleaning, manning the gallery, event planning, etc. Volunteering also affects the amount of commission collected for work sold through the gallery.
Volunteers – 10% Non Volunteers – 30%
Yes. I would like to be contacted about volunteering, and preferred day:
I ________________________ agree to abide by the rules and regulations as set out by TRAK
Signed___________________ Date ________Regulations can be found on the wall or you can request a copy.
The “all care but no responsibility” clause applies to works left at this gallery. While covered by TRA insurance, succeeding in a claim can be difficult, and a $500 excess per item applies. In signing this form you are agreeing to accept these terms.
Please return completed form and payment to:
Tas Regional Arts – Kentish, Drill Hall, Albert St, Sheffield, Tas, 7306
or PO Box 156, Sheffield, Tas, 7306
__________________________________________________________________________________________________________________
Office Use Only:
Date ___________ Receipt No. _______ Member No. ________ Entered in Data Base
