Join us as a member of Encore Theatre Group

Please print, complete and send the following membership form. Phone enquiries to the secretary Bill Rendall on 9515 7272. Email brendall@optusnet.com.au

ENCORE THEATRE Inc.

Reg. No. A0035812A

APPLICATION FOR MEMBERSHIP

I, __________________________________________________________

(Full name of applicant)

of __________________________________________________________

(Address)

Telephone: (H) ______________ (W) ______________ (M) _________________

Email address ___________________________________________________

desire to become a member of Encore Theatre Inc.

In the event of my admission as a member, I agree to be bound by the Rules of the Association.

___________________________________________ Date _________________

Signature of Applicant

AREAS OF INTEREST

Please tick any area in which you have an interest

Acting

Backstage

Front of House/Catering

Set Construction

Sound

Lighting

Costumes

Publicity

Directing

Music

Technical

Please tick type of Annual Subscription

Single ($20)

Family ($35)

Concession ($10)

Child under 18 ($5)

List any skills which may be useful

_________________________________________________________________

Post to

Encore Theatre
PO Box 5167
Clayton
VIC 3168