Membership Application

Membership Application
Please tick your type of membership

Single Membership $25.00Family Membership $40.00 (2 Adults & up to 2 school aged children)
Name*

First NameLast Name
Bank Transfer to:

Maleny Arts Council Inc.

BSB: 654 000 ACC: 40063627

Please use name as a reference.
Address*

Street Address

Street Address Line 2

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Post Code
Mobile Number:*
E-mail*
We'd like to send you email updates about upcoming events, news and special offers.

Yes, I would like to received emailsNo, please do not send me emails
We will contact you shortly to confirm your membership.

Thank you!
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