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December 2009 - Illawarra Folk Club Inc.

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efore Christmas.<br />

ILLAWARRA FOLK CLUB INC. - MEMBERSHIP FORM<br />

Membership expires 30 June<br />

Become a member and obtain concessional rates to <strong>Club</strong> Concerts throughout the year<br />

New Application or<br />

Renewal <br />

Individual $15 or Family $20 <br />

Please PRINT BLOCK letters<br />

Your Name:<br />

Partner’s Name:<br />

Postal Address:<br />

Town:<br />

Postcode:<br />

E-mail Address:<br />

I want to receive my monthly <strong>Illawarra</strong> <strong>Folk</strong> <strong>Club</strong> Newsletter by E-mail:<br />

<br />

1 st Telephone No: ( ) 2 nd Telephone No: ( )<br />

Products (Prices include GST and postage) No. Cost Amount<br />

Jamberoo, A Change of Season - CD<br />

19 performers from the 17 th <strong>Illawarra</strong> <strong>Folk</strong> Festival, 2001<br />

Jamberoo, A Discovery - CD<br />

22 performers from the 19 th <strong>Illawarra</strong> <strong>Folk</strong> Festival, 2003<br />

Jamberoo Celebration- 20 Years On – Double CD pack<br />

41 performers from the 20 th <strong>Illawarra</strong> <strong>Folk</strong> Festival, 2004<br />

Bulli – The Tradition Continues – CD<br />

23 performers from the 21 st <strong>Illawarra</strong> <strong>Folk</strong> Festival, 2006<br />

Bulli Bakontrak CD<br />

24 performers from the 22 nd <strong>Illawarra</strong> <strong>Folk</strong> Festival 2007<br />

$25 each $<br />

$25 each $<br />

$35 each $<br />

$25 each $<br />

$25 each $<br />

<strong>Illawarra</strong> <strong>Folk</strong> <strong>Club</strong> Cookbook Vol 1 or Vol 2 or Vol 3 (please circle) $10 each $<br />

PAYMENT DETAILS Pay by Cash, Cheque, Money Order or Credit Card<br />

Membership Fee - Single or Family (includes GST) $15 or $20 $<br />

CREDIT CARD DETAILS Total: $<br />

Type of Card:<br />

Name on Card:<br />

Visa <br />

MasterCard <br />

Card Number:<br />

Card Expiry:<br />

___/ ___ /___ / ___ /___ / ___ /___ / ___ / ___ /___ / ___ / ___ /___ / ___/___/___<br />

____ / ____<br />

If paying by Credit Card you can fax this form to 1300 887 034 otherwise post to:<br />

<strong>Illawarra</strong> <strong>Folk</strong> <strong>Club</strong> <strong>Inc</strong>., PO Box 5289, Wollongong, NSW 2500<br />

August <strong>2009</strong> form

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