The Llewellyn Choir Incorporated ABN 91 180 744 767

MEMBERSHIP FORM 2018 RENEWING MEMBER

Name ...................................................................................... Address ..................................................................................................Postcode.............. Telephone (w)..................................(h)................................(mob)...................................... Email address ...................................................................................................................... Voice (SATB 1st/2nd) ............... Date: .................. Membership Fees for The Llewellyn Choir Full $230 Retired/Superannuated $200 Concession (Pensioner) $165 Full-time student $40

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Donation to The Llewellyn Choir Public Fund In addition to my membership fee, I would like to donate $......... to The Llewellyn Choir Public Fund to be used to support young professional musicians by providing them with paid concert opportunities. This donation is tax deductible. Please provide me with the necessary tax-deduction receipt. Method of payment: (tick method of payment) £ I enclose a cheque made out to The Llewellyn Choir Inc. £ I will be paying by electronic transfer (TLC's account name is the Llewellyn Choir Inc, and

its BSB and Account number is 062900 0080 3393; begin payment information with your name).

£ I will be paying by cash direct to the Treasurer (a cash receipt will be provided to you). ________________________________________________________________________________________________ Please fill in payment details, and return to the Treasurer, Paul Pollard, at rehearsal as soon as possible. Please use an envelope if paying by cash or cheque. If paying this annual subscription in one payment causes you genuine financial problems, please consult the Treasurer. Fees are not refundable.