new theatre (ABN 26 909 421 858)
MEMBERSHIP APPLICATION FORM

This application cannot be submitted online. Please complete form, then PRINT and SIGN OR PRINT BLANK FORM and complete by hand. To clear all fields press:
Send completed applications to New Theatre at 542 King St, Newtown NSW 2042 or Fax: 02-9519 8960.

Name: (Mr./Ms etc):
Address:
Postcode: Phone: (h): (w):(m):
E-mail Address:
Date of Birth: //

Tick areas of theatrical production and operation you are skilled / experienced in:
Production Management Stage Management Assistant Stage Manager Acting
Set Construction Publicity / PR Set design Set Painting
Props Co-ordination Lighting design Rigging Costume construction
Sound design Lighting operator Sewing Costume design
Sound operator Office admin. / assisting Responsible Service of Alcohol certificate Directing

Tick areas you would like to gain or further your skills:
Production Management Stage Management Assistant Stage Manager Acting
Set Construction Publicity / PR Set design Set Painting
Props Co-ordination Lighting design Rigging Costume construction
Sound design Lighting operator Sewing Costume design
Sound operator Office admin. / assistingDirecting

Formal Theatre / Drama qualifications (attach Biog. and photocopy of your headshot if you wish, but NO original photos please)

Do you have any special skills? - eg mime, fencing, singing, dance, play a musical instrument

Do you have access to any specialised knowledge, contacts, or materials? - eg carpentry, plumbing, multiple photocopying, paints, fabrics, etc.
Payment Method: CHEQUE MONEYORDER VISA MASTERCARD BANKCARD.
Please indicate fee enclosed: (All Fees include GST and comprise $11 joining + annual or half annual subscription, if joining after June 30):
Full Year (Dec to Dec) $71 Full OR $101 Family OR $41 Concession(Please attach photocopy of Concession ID)
Half Year (July to Dec):$41 Full OR $56 Family OR $26 Concession(Please attach photocopy of Concession ID)
I have read, and agree to, all the conditions of membership at www.newtheatre.org.au

Signature:.....................................................................Date: .............................
If paying by Credit Card, please provide:
Name as it appears on your card:
Card number:---exp. date/

Signature:.....................................................................Date: .............................

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