Home Membership Application


Please enter your details below, then print the page, sign it and post with your remittance to:

Playlovers Inc.
PO Box 164
WEMBLEY
WA 6913

I/We wish to become a member of Playlovers Inc. and enclose cash/cheque to the value of  $ (see membership fees below) to cover my/our annual subscription to January, 2009. 

Date: // Signed:  ___________________________        

Mr/Mrs/Miss/Ms:  (Firstname)    

Surname:

Address: 

Suburb: Postcode: 

Telephone:  (Home)

Telephone: (Work)

Telephone: (Mobile)    

Email:

Membership fees:

Particular interests:

Single $25

Singing

Set building/design

Double/Family $40

Dancing

Sound/Lighting

Unwaged $15

Acting

Wardrobe

Newsletter only $10

Directing

Front of house

Junior (under 18) $10

Backstage

Administration


Click here if you wish to clear the form

Publicity

Other:

Playlovers use only: database[] card[] mail[]


THANK YOU AND WELCOME TO PLAYLOVERS

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