WABA 2017/18 Membership Registration FORM
Please fill in this form with the details listed below, then click the "send form" button at the bottom of page. Please complete as many section as you can.

Membership is for the period 1 July 2017 to 30 June 2018. (New members joining after 1April 2018 will have their membership extended to 30 June 2019).

Renewing or New Membership
Please indicate if you are a New Member or a Renewing Member
Renewing memberships only - use my previous membership details
If you are renewing your 2016/17 membership, please select 'Use current details' if your current details are still correct. Name, Email, Phone number, Membership Subscription and Subscription Payments are still required to be entered.
Contact Details
First name
Your answer
Last name
Your answer
Address Line 1
Number & Street, PO Box, Property Name
Your answer
Address Line 2
Your answer
Town/City
Your answer
State
Your answer
Post code
Your answer
Country
Your answer
Phone number
N.B. Please insert spaces in the number, e.g. 02 3456 7891 or 0123 456 789
Your answer
Secondary Phone number
N.B. Please insert spaces in the number, e.g. 02 3456 7891 or 0123 456 789
Your answer
Email address
Your answer
Membership Subscriptions
Annual Membership Subscription
Concession - Australian Pensioner or Full-time Student
Pensioner/Student Number
Your answer
Subscription Payments (electronic funds transfer preferred)
Select one. Detailed payment instructions will be provided in your acknowledgement email.
Areas of Artistic Interest
Subject(s)
Your answer
Media
Your answer
Special Skills
Your answer
Volunteering
Are you able to contribute to the group by leading or helping with any of the following activities. Please provide details - thanks.
Workshops
Your answer
Field Trips
Your answer
Presentations
Your answer
Demonstrations of Techniques
Your answer
Management Committee
Your answer
Exhibition Organisation and/or Fund Raising
Your answer
Other
Your answer
Please indicate membership of other relevant groups, organisations and/or specialised knowledge which may assist the group.
Your answer
Artists Register
Would you like to be included on a register of artists which will be displayed at exhibitions or on the website for outside organisations requiring botanical or wildlife illustrators?
Submit
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