Membership Application

Name: .......................................................

Address: ....................................................

........................................ Postcode:...........

Telephone home: ...................work:.....................

Mobile: .....................................................

Email: ......................................................

Impress has introduced a new membership system so that all
memberships will fall due on 1st May each year.

Fees:
Standard $60 per year or $5 per month
Concession $36 per year or $3 per month
(Note: To be concessional you must hold a current Student or
Centrelink benefit card and have no other means of support)
Organisation or institution $96 per year or $8 per month
Please indicate and pay the amount so that your membership
will fall due for renewal on 1st May 2008:

New [  ] or Renewal [  ]

Standard [  ] or Concession [  ] or Organisation [  ]

No. of Months ........    Total Paid $.......................


Please indicate if you could volunteer in any way.

..............................................................

..............................................................

..............................................................

How did you hear about us? 

..............................................................

Signature: ...................................................

     Date: ...........................

Make money orders and cheques payable to:
Impress Printmaker's Studio
Post your membership form to:
Sue Pickford, 27 Brighton Parade,
Creekwood Forest Lake QLD 4078