Online Membership Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

I wish to make an application to join Townsville Little Theatre or renew my membership as one of the following:

Memberships are due Annually on the 31st of December.

If you do not wish to submit your membership form online please go to the contact us page and send a request to have a form mailed to you.

Annual subscription can be paid on line to our bank as follows:

Bank:
Bendigo Bank
BSB:
633 000
Acct No:
1393 04653
Acct Name:
Townsville Little Theatre

Email *

Membership Type *

Active Member (to be involved in performing, backstage or general helper)

Non Active Member (Member only, to take advantage of discount prices and have a say in the structure of TLT at the AGM)

Name *

Address *

Suburb and postcode *

Phone Number *

Birth Day and Month (do not require year) *

Renewing TLT Member? *

Yes

Other:

How do you wish to receive your monthly newsletter? *

Post

Select your Membership Type *

Individual $20

Student / Concession $15

Family $30

If family membership please enter members

Please tick as many areas of interest in which you are prepared to be involved - subject to your availability of course, but any assistance which you can offer will be appreciated.

High

Medium

Keen to learn

Acting

Production Manager

Lighting Design

Sound Design

Lighting Operator

Sound Operator

Costumes

Props

Set Design

Set Construction

Stage Management

Crew

Clear selection

I hereby accept and agree to abide by the Constitution of Townsville Little Theatre and declare the above information provided is true and correct. Would you like a copy of the Constitution? *

yes

By signing this form you are agreeing that photos and videos of you may be used in any publicity and advertising material used by Townsville Little Theatre. If you do not wish for this to happen please tick this box.

I do not agree to have media material released.

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This content is neither created nor endorsed by Google.