Hawthorn Artists Society Inc.

 M E M B E R S H I P        A P P L I C A T I O N ____________________________

I wish to apply for membership:
Subscription Rates:
Ordinary $50        Family $70
Concession (including Seniors )$40
HALF-RATES  FOR  NEW MEMBERS JOINING IN JULY

 FIRST NAME:
 SURNAME:
ADDRESS :
POST CODE:
Telephone:- Home:         ...............................
                      Business:    ...............................

Occupation:

Interests: I would be willing to help with (please tick)
Newsletter ...................    Exhibitions ...................         Publicity   .................   Repairs .................

Signature:        ..............................................

Please print, fill and return the above  section with your remittance to:
  ___________________________________

     The Membership Secretary.
     Hawthorn Artists Society.
     P.O. BOX 37,
     Hawthorn, 3122
  ________________________________