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Renewal /New Member Nomination Form MSV Centre (if applicable): _____________

MEMBERSHIP CATEGORIES and FEES: Circle membership type and complete payment details.

MEMBERSHIP TYPE

Membership Notes

ANNUAL FEE

AMOUNT

STUDENT
A student is a full-time student aged 25 years and under.
A student member under 18 years of age may attend all meeting of The Society but is not entitled to vote or form a quorum at any such meeting.

$42

ADULT /
PENSIONER

$45/
$42

FAMILY
A family is any number of adults and children in the one family, as listed on form below.

$80

INSTITUTION
Institution refers to a school or organisation who wishes to receive newsletters and information about the Society’s activities.

$100

TOTAL AMOUNT DUE

The Society is not registered for GST and GST is not charged on our subscription.

Title ______ Given Name ____________________ Family/Surname __________________________

Address ________________________________________________________ Post Code _______

Email ________________________________________________ Telephone __________________

Family Members: Parent Names & Email _______________________________________________________

List Family Student Names Date(s) of Birth Instrument(s) played. ____________________ ___/___/___ ____________________

____________________ ___/___/___ ____________________

____________________ ___/___/___ ____________________

Circle any interest in assisting MSV with: Concerts Newsletter Catering Publicity Centres Other _______

NOMINATED:___________________SECONDED__________________ (Centre Secretary where applicable)

I consent to my Nomination and agree to abide by the Memorandum and Articles of the Musical Society of Victoria.
Any use of video or photographs is strictly private and only to be used by family members.
Media or internet videos or photographs cannot identify The