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.
* Required
Email address
*
Your email
First Name
*
Your answer
Surname
*
Your answer
Mobile Phone Number
Your answer
Other Phone Number
Your answer
Business Name
Your answer
Web Site
Your answer
What Aspects of Renew Armidale Interest You? - You may choose more than one.
*
Volunteer Assistance - Office
Volunteer Assistance - Sweat Capital
Volunteer Assistance - Artistic Input
Volunteer Assistance - New Business Support
Business Startup - Tenancy of empty premise
Board Membership
Other:
Required
Today's Date
*
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Page 1 of 1
Never submit passwords through Google Forms.
Forms
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy