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Theatre Organ Society of Australia - Membership Application (South Australian Division) Inc.
Surname [1]: Mr/Mrs/Miss/Ms/Dr .
Given name: Preferred name (for badge etc) ...... . Address: ..........
.. ....................................... Post code: .
Phone No: Home: ... ..Work: .. .
E-mail:
Surname [2]: Mr/Mrs/Miss/Ms/Dr .
Given name:
Preferred name (for badge etc)
Phone No: Work: .
E-mail: ...
Enclosed is a cheque/money order for $ ______ (Australian dollars) for the following membership or complete details below for credit card: |
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NOTE:
Fees include GST for Australian residents.
N.B. Fees as revised 12 May, 2008
New financial year starts July 1st.
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Name on card: .. Signature: .Expiry date: / |
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Print this page and post the above form with fee to: Membership Secretary, TOSA (S.A. Div.) Inc. PO Box 307 GOODWOOD SA 5034 AUSTRALIA |
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¨ Free Club Nights, on the second Monday each month, which are mainly entertainment. ¨ Discounts to TOSA concerts. ¨ Discounts to film sessions at the Capri Theatre. ¨ Monthly newsletter with theatre organ news, concert reviews etc.. ¨ The privilege of playing on our theatre organ. |
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Full Membership Benefits |
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Category |
Cost |
Amount Remitted |
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Family |
$68.00 |
$ |
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Pensioner Double |
$43.00 |
$ |
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Single |
$49.00 |
$ |
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Pensioner Single |
$33.00 |
$ |
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Single Parent Family |
$56.00 |
$ |
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Full-time Student |
$25.00 |
$ |
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Distant (Australia) |
$30.00 |
$ |
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Overseas |
$28.00 |
$ |
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Overseas Airmail, add |
$25.00 |
$ |
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Joining Fee for all |
$15.00 |
$ 15.00 |
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Total Enclosed [Must include Joining Fee] |
$. |
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Card No. |
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Type of credit card |
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MasterCard |
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Visa |