Operatic Membership Form
Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date Picker Icon
Phone Number
*
-
Area Code
Phone Number
Membership Type(Please Tick): All entitled to 50% discount on hires
Adult - $25
Junior under 16 - $10
Family - $30
School/Group - $50
Additional Names/Dates of Birth (If Family or School/Group Membership):
Have you done any theatre work before?
Yes
No
Please briefly list what you have done (eg roles, wardrobe, lighting etc):
If not, what would you like to do (are interested in)?:
How did you hear about us?:
*
Use Reference For Payment
Online Payment
If you would like to pay by internet banking: ANZ GREYMOUTH - 01-0843-0002848-00
Submit
Should be Empty: