TEMPO THEATRE INC PO Box 3177 Weston Creek ACT 2611

MEMBERSHIP APPLICATION FORM

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Please print out, complete the following items,
and hand it to the Secretary/Treasurer with your fee ($10 AUS)
 

FULL NAME :
POSTAL ADDRESS : (FOR NEWSLETTER )
RESIDENTIAL ADDRESS : (If the same write "As Above")
THEATRE INTERESTS : (eg: Singing, dancing, directing acting stage management etc)
Are you a former  TEMPO member ?

I hereby apply for membership of Tempo Theatre Inc and agree to abide by the rules a regulations as prescribed by its constitution
 
 

SIGNED : __________________________________________

DATE :
 
 

NOMINATED BY : _____________________________________
 
 

SECONDED BY : ______________________________________
 
 

SECRETARY/TREASURER USE ONLY
 

RECEIPT ISSUED
DATE APPROVED
MEMBERSHIP NUMBER ISSUED
RECORDS UPDATED