Townsville Little Theatre

Application for Membership

Due Annually on 31 October

I wish to make an application an application to join Townsville Little Theatre
or renew (Circle join or renew) my membership as one of the following:

1. Active Member (to be involved in performing, backstage or general helper)

2. Non Active Member (Member only, to take advantage of discount prices
and have a say in the structure of TLT at the AGM)

Name:
Address:
Suburb:
Post Code:
Ph: (H)
Mobile:
email:
Birthday: Just enter Date and Month as DD/MM eg 20/10 for 20th October

Do you wish to receive your monthly newsletter by
Post or email ? (Please circle one)

Types of Membership
Individual $15
Student / Concession $10
Family * $25
Associate $5 (for a specific production

* Please list the names of family members here:

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I hereby accept and agree to abide by the Constitution of Townsville Little Theatre and
declare the above information provided is true an correct. (Like a copy of the Constitution ?)

TLT has public liability insurance and cover for volunteer workers.
Details of the coverage are available by contacting the Treasurer.

NB: By signing this form you are agreeing that photos and videos of you may be used
in any publicity and advertising material used by Townsville Little Theatre.
If you do not wish for this to happen please tick this box.

Applicant's Signature: ____________________________ Date: ______________
New Members must be proposed and seconded
by a current financial member.

Proposed by: _________________________ Signature: _________________________

Seconded by: _________________________ Signature: _________________________

Accepted Yes / No ... Date: ___________

Once you have completed the form print it out, sign it and forward it
with the appropriate membership fee to:

The Treasurer
Townsville Little Theatre
PO Box 21
Castletown
Qld 4812