MEMBERSHIP APPLICATION FORM
JervisBay and Basin Arts Inc. PO Box 207, Vincentia NSW 2540
Membership cycle commences 1stApril each year with an option for 2 years at reduced cost.
Name
Address / Town / PCode
Phone / Mobile / Email
Please indicate if you cannot receive information via email. (Key communications will be mailed to you)
Membership costs (1 year/ 2 years)
Full Membership $35/$65 Concession $25/$45 Organisation $45/$85 Youth (Under 25) $5/$10
Full/Concessional/Organisational Membership entitles you to voting rights at general meetings, workshop discounts where offered, entry to all JBBArts group exhibitions on payment of fee. Concession is for students, pension card,Seniors 60+ or Centrelink unemployment card holders. Youth is for under 25 years. Rates quoted include insurance levy. Full or Concession can be for individual, couple or family with children under 18 years. No discount is applicable for a part year period. Information for members is regularly posted on the website, facebook and regular email notifications and eNewsletters are sent to members.
 Direct Payment BSB: 112-879 Account: 065453123 Acc Name: JervisBay and Basin Arts
Reference: Initial, Surname, Mship (year)
Amount attached / $______/ Date paid / Make cheques and money orders payable to Jervis Bay and Basin Arts Inc.
Credit Card (Mastercard or Visa only – no Debit Cards) :
Name ………………………… …… Expiry / / Signed …………………………………………………………………………………
Card number 
If a practicing artist please indicate your major field and give details:
What skills or services can you volunteer to the running of JBBA? [please specify]
 Exhibition Coordinator
 Exhibition hanging
 Clerical
 Trade skills /  Loan of equipment
 Catering
 Conduct workshop
 Newsletter fold/distrib. /  Fundraising
 Transportation
 Promotion / Publicity
 Other / SEE CHANGE FESTIVAL
 Minor coordinator
 Coordinator’s Assistant
 Other

Post completed form(and chq/money order as applicable) to PO Box 207, Vincentia NSW 2540, or completed form can be emailed to if paying by direct deposit.