Clifton School of Arts | Membership Form

Family name*
Given name(s)*
Street Address (postal)*
Suburb*
Postcode*
Contact Phone*
Email address*
How did you find out about the CSA?
What prompted you to join the CSA?
As a community organisation, the CSA draws strength from its members. Do you have any skills/contacts/specialist knowledge or interests, which you could contribute?
On becoming a member of the CSA, do you agree to abide by the CSA Constitution and other By-Laws as determined by CSA Inc (see Governance page).*
Date*
DD slash MM slash YYYY
Membership Fee Option (1 July-30 June)*
- 1 Year ($20)
- 3 Years ($50)
EFT/Bank Details

Clifton School of Arts Inc
BSB: 062607
Account: 10270575

*Please include your initial and family name as the deposit reference.

Thank you for your application. As soon as the CSA Committee has approved your membership, the Secretary will be in contact with you.
Name
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