March - Illawarra Folk Club Inc.

ILLAWARRA FOLK CLUB INC. - MEMBERSHIP FORM
ILLAWARRA FOLK Membership CLUB expires INC. expires - 30 MEMBERSHIP June
FORM
Membership expires 30 June
Become a member a member and and obtain concessional rates to Club Concerts throughout the year
Become a member and obtain concessional rates to Club Concerts throughout the year
New New Application � � � � or or Renewal � � � �
New
Individual
Application
Individual $15 $15 � � � �
�
or
� or or Family Renewal
$20 � � � �
� �
Individual $15 Please � PRINT � or BLOCK Family BLOCK letters
$20 � �
Your Your Name:
Partner’s Your Name:
Postal Partner’s Postal Address:
Name:
Postal Address: Town: Postcode:
E-mail E-mail Address:
Town: Postcode:
E-mail Address:
I want I want to to receive my monthly Illawarra Folk Club Newsletter by by E-mail: � � � �
I want to receive my monthly Illawarra Folk Club Newsletter by E-mail: � �
1 st Telephone No: ( ) 2 nd 1 Telephone No: ( )
st Telephone No: ( ) 2 nd Telephone No: ( )
Products (Prices include GST and postage) No. Cost Amount
Jamberoo, A Change of Season - CD
19 performers from the 17 th Illawarra Folk Festival, 2001
Jamberoo, A Discovery - CD
22 performers from the 19
$25 each $
th Illawarra Folk Festival, 2003
Jamberoo Celebration- 20 Years On – Double CD pack
41 performers from the 20
$25 each $
th Illawarra Folk Festival, 2004
Bulli – The Tradition Continues – CD
$35 each $
23 performers from the 21 st $25 each $
Illawarra Folk Festival, 2006
Bulli Bakontrak CD
24 performers from the 22 nd Products (Prices include GST and postage) No. Cost Amount
Jamberoo, A Change of Season - CD
19 performers from the 17
Illawarra Folk Festival 2007
Illawarra Folk Club Cookbook Vol 1 or Vol 2 or Vol 3 (please circle)
$25 each
$10 each
$
$
PAYMENT DETAILS Pay by Cash, Cheque, Money Order or Credit Card
Membership Fee - Single or Family (includes GST) $15 or $20 $
CREDIT CARD DETAILS Total: $
Type of Card:
th Illawarra Folk Festival, 2001
Jamberoo, A Discovery - CD
22 performers from the 19
$25 each $
th Illawarra Folk Festival, 2003
Jamberoo Celebration- 20 Years On – Double CD pack
41 performers from the 20
$25 each $
th Illawarra Folk Festival, 2004
Bulli – The Tradition Continues – CD
$35 each $
23 performers from the 21 st $25 each $
Illawarra Folk Festival, 2006
Bulli Bakontrak CD
24 performers from the 22 nd 1
Illawarra Folk Festival 2007
Illawarra Folk Club Cookbook Vol 1 or Vol 2 or Vol 3 (please circle)
$25 each
$10 each
$
$
PAYMENT DETAILS Pay by Cash, Cheque, Money Order or Credit Card
Membership Fee - Single or Family (includes GST) $15 or $20 $
CREDIT CARD DETAILS Total: $
Type of Card:
st Telephone No: ( ) 2 nd Telephone No: ( )
Products (Prices include GST and postage)
Jamberoo, A Change of Season - CD
19 performers from the 17
No. Cost Amount
th Illawarra Folk Festival, 2001
Jamberoo, A Discovery - CD
22 performers from the 19
$25 each $
th Illawarra Folk Festival, 2003
Jamberoo Celebration- 20 Years On – Double CD pack
41 performers from the 20
$25 each $
th Illawarra Folk Festival, 2004
$35 each $
Bulli – The Tradition Continues – CD
23 performers from the 21 st $25 each $
Illawarra Folk Festival, 2006
Bulli Bakontrak CD
24 performers from the 22 nd Illawarra Folk Club Products (prices include GST and postage) No. Cost
CD - Folk Republic of Bulli, 2011 Festival compilation
CD - Silver Folk, 2010 Festival compilation
CD - Bulli Bakontrak, 2007 Festival compilation
CD - Bulli - The Tradition Continues, 2006 Festival compilation
$20 each
$20 each
$20 each
$20 each
$
$
$
$
CD (double) - Jamberoo A Celebration, 2004 Festival compilation $20 each $
CD - Jamberoo A Discovery, 2001 Festival compilation
CD - Jamberoo A Change of Season, 2000 Festival compilation
Illawarra Folk Festival 2007
$20 each
$25 each
$20 each
$
$
Illawarra Folk Club Club Cookbook - Vol Vol 1 or 1 or Vol Vol 2 or 2 Vol or Vol 3 (please 3 (please circle) circle) $10 each $
PAYMENT DETAILS Pay by Cash, Cheque, Money Order or Credit Card
Membership Fee - Single or Family (includes GST) $15 or $20 $
CREDIT CARD DETAILS Total: $
Type of Card:
Name Name on on Card: Card:
Please PRINT BLOCK letters
Visa � � MasterCard � �
Visa � MasterCard �
Card Name Card Number: on Number: Card: ___/ ___/ ___ ___ /___ / / ___ /___ / / ___ /___ / ___ / / ___ /___ / ___ / / ___ /___ / / ___/___/___
Card Card Expiry: Number: Expiry: ____ ___/ ____ / ___ ____ / ____ /___ / ___ /___ / ___ /___ / ___ / ___ /___ / ___ / ___ /___ / ___/___/___
Card Expiry: ____ / ____
If paying If paying by by Credit Card you can fax this form to 1300 887 034 otherwise post to: to:
If paying Illawarra by Credit Folk Card Club you Inc., can PO fax Box this Box form 5289, to 1300 Wollongong, 887 034 otherwise NSW 2500 post to:
Illawarra Folk Club Inc., PO Box 5289, Wollongong, NSW 2500
August 2009 2009 form form
August 2009 form