http://www.canwa.com.au/resources/membership%20form%202010_web

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membership join us

at community arts network wa our vision: a future where culture, creativity and the arts are known to be essential for community wellbeing and are at the core of a just, diverse and resilient society. Become a member and support Western Australia’s peak body for community arts and community cultural development. CAN WA provides funding, resources, information and contacts to plug into your vision. We are an open, people based organisation, connecting a network of vibrant people.

member benefits • • • • • • • •

Copies of all our publications including: Annual Reports, Bulletins and Research reports Around the Campfire, a monthly e-update on the world of community arts and cultural development in WA Discounts on training and invitations to all events, including launches, networking sessions and forums Voting rights at the AGM and eligibility to nominate for the Board of Directors Subscribers discount at Luna Palace Cinemas Discount of 15% at all Jackson’s Drawing Supplies stores Member’s discount at Perth Institute of Contemporary Arts (PICA) Access to artist’s details on our Community Artist Listing.

To become a member of CAN WA, fill in the details over the page or visit our website at www.canwa.com.au/canwa-resources/join-network/ and download our PDF membership form, complete and send to admin@canwa.com.au.

member categories

Individual full membership

$ 33.00

Individual concession membership

$ 16.50

Organisational NFP membership

$ 55.00

Organisational small membership

$ 55.00

Organisational large membership

$ 110.00

w w w. c a n w a . c o m . a u


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membership form member category

new

renewing

Individual full membership $33.00

Individual concession membership $16.50

Organisational small (up to 20 staff) $55.00

Organisational not for profit $55.00

Organisational large (over 20 staff) $110.00 student number

concession tertiary institution pension card number

applicant details last name

mr/mrs/ms/dr first name organisation address

postcode

state phone home fax

mobile

work email

organisational large (over 20): nominated representative name email

payment details total amount due: $

cheque

direct bank deposit

debit my account (Visa, Mastercard, bank card, EFTPOS) name on card card number

expiry date

signature direct deposit details BSB 633-000 account no 130068208 account name Community Arts Network WA Main Account

declaration I wish to become a member of Community Arts Network WA subject to Board approval and agree to be bound by the Constitution and by-laws of the organisation. I understand that if the company (CAN WA) dissolves while I’m still a member, or within one year after I cease to be a member, I may be required to contribute a sum total not exceeding $1.00 (one dollar).

signature

date

complete and send with payment to: CAN WA PO Box 7514, Cloisters Square WA 6850 OFFICE USE ONLY p 9226 2422 f 9226 2230 tollfree 1800 681 021 Membership no: e admin@canwa.com.au Receipt no: Expiry: Community Arts Network WA Ltd (CAN WA) is a registered Company by Guarantee, and under the Corporations Act, members of the public may request to view the register of members. A copy of the Act can be downloaded from Scaleplus.


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