Application for Membership of Renew Armidale
Renew Armidale welcomes involvement and assistance from all to assist in its vision of reclaiming empty spaces in our city and the encouragement of new, creative and experimental businesses.  The Application costs $3 and Annual Membership $10 ($13 for first year, $10 subsequently).  Please deposit this, making sure to mention your name, to our Regional Australia Bank account BSB: 932000; Account: 100 425 548.  (If you are a Regional Australia Bank customer, treat this as an EXTERNAL account so that you don't have to provide a sub account. )  Help renew our Mall to the imaginative, friendly and atmospheric place it used to be.  PLEASE CLICK THE SUBMIT BUTTON AT THE BOTTOM WHEN YOU HAVE FINISHED.  Membership is renewed at the beginning of each year.
Sign in to Google to save your progress. Learn more
Email *
First Name *
Surname *
Mobile Phone Number
Other Phone Number
Business Name
Web Site
What Aspects of Renew Armidale Interest You? - You may choose more than one. *
Today's Date *
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.