Application For Membership Renewal Form
1 July 2010 - 30 June 2011

Please assist us in updating our records by completing all sections even if there are no changes are applicable to previous details. If you would prefer to access a printable copy of the membership form, rather than fill in the online form on this page, please feel free to download the document with the link below.
• Membership Renewal Form (Printable):   Download (113KB)

Cheques should be made out to Arts-Culture-Peel. The downloadable form with payment should be mailed to the Treasurer at the ACP address to deposited in the ACP red letter box the ACP lounge room at 2 Tuart Avenue, Mandurah.


Online Application
Membership Type
Individual $25 Incorporated Group $40 Student $20

Individual / Student Membership
Title
First Name
Family Name
Student Card Number (if applicable)

Group Membership
Group Name

President/Chair Name:
Title
First Name
Family Name
Mailing Address Details
Post Code
Home Phone
Mobile Phone
Business Phone
Fax
Email Address
Website

Profile: tell us about yourself and your interest in the arts
Would you like your profile to appear in our newsletter?
Yes No


This form will be emailed to an ACP staff member who will contact you further to arrange the appropriate payment options.

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