Clifton School of Arts | Membership Form

Full name*
Postal Address*
Contact Phone*
Email address*
Occupation
Nominated by
(The CSA Inc. Constitution requires applicants to be nominated by a current CSA Member. If you are unable to complete this section you will be contacted by a Committee member)
Date
Date Format: MM slash DD slash YYYY
Do you have any skills/contacts/specialist knowledge etc., which you could contribute?
Do you have suggestions for raising funds for building restoration and maintenance?
Membership Term*
- 1 Year ($20)
- 3 Years ($50)
EFT/Bank Details

Clifton School of Arts Inc
BSB: 062607
Account: 10052316

*Please include your surname as deposit reference.
*Should your membership application not be approved by the CSA Committee, you will be refunded the membership fee.
Terms & Conditions*
- I agree to abide by the:
        • CSA Constitution
        • CSA Code of Conduct
        • CSA Operating Rules for Members
Name
This field is for validation purposes and should be left unchanged.