Membership Form

Membership Application or Renewal
Membership Type *

Single Membership ($25.00) Family Membership ($40) 2 persons
I am *

Applying for NEW Membership Renewing my Membership - NO CHANGE to Contact Information Renewing my Membership with NEW Contact Information
How did you hear about us

Existing Member A Friend Attended an Event Website or Facebook eNewsletter Other
Your Contact Details
Title (eg Mr, Mrs, Dr) *
First Name *
Last Name *
E-mail

Confirmation Email
Best Contact Phone

Partner Contact Details
Partner Title
Partner's First Name
Partner's Last Name
Partner Email (only if different to yours)

Confirmation Email
Payment
The Australian Concerto & Vocal Competition is a voluntary, non profit incorporated
organization and as such your donations are tax deductible.
Donation (optional)
Total
Payment Method *

Secure online using Credit / Debit Card or Paypal A/c Manual - Bank Transfer or Cheque
PAYMENT AMOUNT to be paid by Credit / Debit Card or Paypal A/c
PAYMENT AMOUNT to be made by the methods below
Bank Deposits to:

BSB 633-000 A/c 159191295 Australian Concerto & Vocal Competition

Post Cheques to:

PO Box 5971, Townsville Qld 4810
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When you click Submit you will be redirected to a SECURE payment site. You will have two choices:
1. pay with a PayPal account if you have one, OR
2. enter your credit or debit card details manually
Note that the 2nd option is not easy to see, but it IS there.
Credit Card Payment

AUD Credit Card Payment
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