Request edit access
If you are a new member or renewing your membership, please complete this form to confirm your details.
Street Address (plus postal address if different):
Mobile phone number
For a family subscription, please list the other other members included in this subscription.
Payment of Subscription
I have paid by internet banking into account 06 0309 0116490 00
I have posted a cheque to Dargaville Arts Association Inc., 43 Hokianga Road, Dargaville 0310
I will call into the Muddy Waters Gallery and pay there
Do you require a receipt for your membership fee?
What is your area of interest:
Painting, drawing, sketching
Are you available to do duty at the Muddy Waters Gallery from time to time?
No, unfortunately I am not available to assist
Yes - Monday to Friday morning - 10 am to 1 pm
Yes - Monday to Friday afternoon - 1 pm to 4 pm
Yes - Saturday or Sunday morning - 10 am to 1 pm
Yes - Saturday or Sunday afternoon - 1 pm to 4 pm
Yes - Available to fit in where needed
Do you wish to exhibit in the Muddy Waters Gallery?
If you have any queries, please contact Sue Curtis 0275 980 492, Pat Mortensen 09 439 4361 or Robyn Mitchell 09 439 6959.
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